World Eye and Vision Congress
Ebsar Specialized Eye Center, Saudi Arabia
Title: Are the horizontal muscles spontaneous reattach and adjust after non suture surgery for huge squint?
Biography: Said Abul Kader Jamal Eddin
Aim: To evaluate and consider alternative surgical technique for huge horizontal strabismus of more than fifty-five Prism Diopter (55>PDs) and to improve that the muscles is spontaneous reattached without suture after surgery.
Methods & Material: A retrospective case series on 40 cases at different hospitals, non-suture myectomy surgery was done in both eyes under local anesthesia for adult. We documented 40 cases, (36) primary strabismus patients (Exotropia-Esotropia) and only (4) secondary cases were re-operated. All patients were evaluated after surgery clinically and with CT images and examined, follow ups every six months for up to three years.
Results: Out of 40 cases, 38 (95%) were successful (less than 10 Prism Diopters) with good ocular motility within one month, under correction only appeared in 2 (5%) of the cases. No persistent diplopia was noted in the central 30° field. One case was re-operated on, no overcorrection and no major complications were recorded during and after the surgeries. The results are supported by documents and images.
Conclusion: This technique is remarkable in our ophthalmic field because it did not interrupt the natural integrity of the normal ocular motility, it is simpler, with a high success rate, requires a shorter time, under local anesthesia for adult, without suturing, much more efficient, with lesser complications, and shorter learning curve, the horizontal muscles spontaneous reattach and adjust after surgery.