SR and LR Union Suture for the Treatment of Myopic Strabismus Fixus: Is Scleral Fixation Necessary?

Biomed Res Int

Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong Eye Hospital, Kowloon, Hong Kong.

Published: February 2016

AI Article Synopsis

  • The study aims to assess the effectiveness of two surgical techniques for treating myopic strabismus fixus: scleral fixation and nonscleral fixation of the eye muscles.
  • Researchers reviewed cases from 32 eyes of 22 patients treated between 2006 and 2013, focusing on the surgical outcomes related to eye alignment.
  • Results showed improvement in eye alignment after surgery, but no significant difference in outcomes between the scleral fixation and nonscleral fixation groups, indicating that scleral fixation does not enhance the procedure's effectiveness.

Article Abstract

Purpose: To evaluate and compare the effectiveness of scleral fixation SR and LR union suture and nonscleral fixation union suture for the treatment of myopic strabismus fixus.

Methods: Retrospective review of 32 eyes of 22 patients with myopic strabismus fixus who had undergone union suture of superior rectus (SR) and lateral rectus (LR) with or without scleral fixation, and follow-up longer than 6 months at Hong Kong Eye Hospital from 2006 to 2013. Surgical techniques and outcomes in terms of ocular alignment are analyzed.

Results: There is significant overall improvement both in postoperative angle of esodeviation (P < 0.01) and postoperative range of movement (P = 0.042). Comparing between the sclera fixation group (11 eyes) versus nonscleral fixation group (21 eyes), the postoperative horizontal deviation, the postoperative vertical deviation, successful outcome, and the change in horizontal deviation were not significantly different (P > 0.05).

Conclusions: Union suture of SR and LR is an effective procedure in correcting myopic strabismus fixus. Fixation of the union suture to the sclera does not improve surgical outcome.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4410502PMC
http://dx.doi.org/10.1155/2015/470473DOI Listing

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