Large-Angle Strabismus and Primary True Muscle Transplantation

Amitava, A. K.; Goswami, Anup K.; Mishra, Amit
July 2005
Journal of Pediatric Ophthalmology & Strabismus;Jul/Aug2005, Vol. 42 Issue 4, p211
Academic Journal
Background: Large-angle strabismus often demands a series of surgeries to achieve satisfactory alignment. This often necessitates bilateral surgery, which patients may be reluctant to undergo. Methods: Three patients with large-angle esotropia, not amenable to standard recession and resection procedures, underwent primary true muscle transplantation wherein a fragment of resected extraocular muscle was used to elongate the medial rectus muscle. Results: Postoperative deviation was within ± 10 PD of orthophoria and was maintained at followup of 6 to 12 months. There was mild underaction of the weakened muscle. Conclusion: True muscle transplantation is a good option because it permits correction of large-angle strabismus with two-muscle surgery, provides a satisfactory cosmetic alignment, and appears safe and predictable.


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