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Syndromic V-pattern management

The authors document their experience in the management of four cases of Crouzon syndrome and review the anatomical extraocular muscle anomalies noted during surgery. Horizontal strabismus surgery varied in each of the four cases according to individual extraocular muscle abnormalities...

Ozurdex wound leakage

This letter to the editor describes two cases of wound leakage after Ozurdex injection. The first case is a man who had four previous injections for an underlying diagnosis of chronic serpiginous choroiditis, who was also on a course of...

Cyanoacrylate vs. fibrin glue

This study compared the safety and efficacy of fibrin and cyanoacrylate glue for refixating the recessed muscle to the sclera in patients undergoing strabismus surgery. The fibrin group (a) included 21 eyes of 15 patients; mean age of 11.6 ±7.49...

Vici syndrome

Vici syndrome is a condition associated with agenesis of the corpus callosum, congenital cataract, incomplete albinism, ± immunodeficiency and cardiomyopathy. Individuals show profound hypotony and severe neuro abnormalities. This paper reports a case of Vici syndrome. A 38-month-old female had...

LR/SR surgery for high myopia strabismus

The authors evaluated the outcomes of a surgical procedure involving the muscle union of the superior rectus and lateral rectus muscles with and without medial rectus recession and the anatomic changes before and after surgery in 35 eyes of 20...

Fibrosis treated with amniotic membrane

In this paper, the authors describe the surgical management of complex strabismus using amniotic membrane grafts in six patients with complex, repeat previous strabismus surgery and two patients with periocular surgery. Frozen amniotic membrane allograft was used. The study had...

IO belly transposition surgery

The authors evaluated inferior oblique (IO) muscle belly transposition to correct mild to moderate IO overaction with small primary position hypertropia. They reviewed 10 patients aged 6-35 years (mean 18.6 years). Aetiologies were mild unilateral superior oblique (SO) palsy for...

V pattern surgery

Inferior oblique (IO) muscle belly transposition involves fixing the belly of the IO to the sclera at 5mm posterior to the temporal insertion of the inferior rectus (IR). This study reports the clinical outcomes of bilateral surgery to treat V...

Augmented surgery for monocular elevation deficiency

The outcomes are described for augmented lateral rectus superior transposition in cases of acquired monocular elevation deficiency (MED) associated with large hypotropia in primary gaze. The lateral rectus was transposed superiorly and reinserted on sclera between the temporal margin of...

Causes of childhood open globe injuries sustained during playtime

This study explored the possible mechanisms of paediatric open globe injuries that occurred during playtime and required surgical treatment. The study was conducted in a single centre in Egypt. This was a prospective study of all children admitted with open...

Surgical technique for small-angle hypertropia

In order to treat small-angle hypertropia of <5PF associated with mild / moderate upshoot in adduction, an option is to suture the inferior oblique (IO) belly to the sclera following its natural muscle direction or with anterior transposition. This study...

Risk of pulled-in-two syndrome

Congenital fibrosis of the extraocular muscles (CFEOM) is along the risk factors for pulled-in-two syndrome (PITS). The aim of this study was to report six cases and discuss prevention and clinical management strategies. The author’s six cases represented an incidence...