Surgical management of dysthyroid diplopia with preservation of the anterior ciliary vascularization: review of ten cases.

Purpose: During the surgical correction of dysthyroid diplopia, the risk of ischemia by transection of the anterior ciliary arteries is well-known. In order to avoid this, we modified the classical surgical technique: (1) through the preservation of the vascular pedicles during muscle recession and (2) if necessary, through a plication (instead of a resection) of the ipsilateral antagonist muscle. The objective to be achieved is thus the resolution of the diplopia without ischemic complications.

[Surgical treatment of lower eyelid retraction occurring after inferior rectus recession: a case report of a patient with congenital fibrosis of the extraocular muscles].

Lower eyelid retraction is a complication that frequently follows large inferior rectus recession. It may result in cosmetic problems or lagophthalmos with corneal exposure. We report the case of a child who had restrictive strabismus related to orbital fibrosis.

Bilateral necrotizing scleritis following strabismus surgery for thyroid ophthalmopathy.

A case of a bilateral necrotizing scleritis following strabismus surgery for thyroid ophthalmopathy is described. A 71-year-old man was operated on for esotropia due to prior and equilibrated Grave's disease. Two weeks after surgery, he had a scleral necrosis that was located on the surgery sites (insertion of the two medial rectus muscles).

[Management of acute visual loss in children].

Acute or rapidly progressive visual loss in children needs urgent attention and treatment. It may be unilateral orbilateral. Etiology depends upon the involved areas: eye ball, optic nerve, retro-chiasmatic pathways.