Correction of Restrictive Strabismus by means of Periosteal Fixation with Silicone Band

JOURNAL TITLE: Highlights of Ophthalmology

Author
1. Luis Javier Cárdenas Lamas
2. Juan Carlos Juárez Echenique
3. Marisol Iñiguez Soto
4. Daniel García Casal
5. Silvia Moguel Ancheita
6. Josafat Franco\'is Uribe Martínez
ISSN
1024-6983
DOI
10.5005/hoe-10101-50203
Volume
50
Issue
2ENG
Publishing Year
2022
Pages
7
Author Affiliations
    1. Attending Physician, Head of the Pediatric Ophthalmology and Strabismus Service, High Specialty Ophthalmology Unit, Hospital Civil de Guadalajara “Fray Antonio Alcalde”, University of Guadalajara. Vice President of the Mexican Association of Pediatric Ophthalmology. Director at Veo Ophthalmology Unit. Guadalajara, México
    1. Attending Physician, Head of the Department of Orbit, Eyelids and Tear Ducts, High Specialty Ophthalmology Unit, Hospital Civil de Guadalajara “Fray Antonio Alcalde”, University of Guadalajara. Guadalajara, México
    1. Physician assigned to the Department of Pediatric Ophthalmology of the Instituto Nacional de Pediatría, INP, Universidad Autónoma de México. México
    1. Master in Neurosciences. Chief of Strabismus at Mira Ophthalmology Center. Vice President of the Mexican Society of Ophthalmology. México
    1. 2nd year Ophthalmology Resident, High Specialty Ophthalmology Unit, Hospital Civil de Guadalajara “Fray Antonio Alcalde”, México
    1. 3rd year Ophthalmology Resident, High Specialty Ophthalmology Unit, Hospital Civil de Guadalajara “Fray Antonio Alcalde”, México
  • Article keywords
    Restrictive strabismus, oculomotor palsy, diplopia, limitation of movement, muscle transposition, periosteal fixation, silicone band 240

    Abstract

    Restrictive strabismus are those caused by the presence of mechanical impediments to free rotation. The restriction may be due to muscle contracture, anomalous position of the globe, post-surgical adhesions, and trauma, which produce diplopia and anomalous position of the head. Its correction is usually difficult due to the normal loss of anatomy and altered muscle function. The usual surgical techniques to correct this type of strabismus are muscle transpositions, but many times they are inefficient or cannot be performed due to the risk of ischemia of the anterior segment. Fixation to the periosteum with a silicone band creates an opposing force in the non-functioning muscle with the purpose of restoring parallelism and abolishing diplopia in front, usually not performed with first intention, but it is a safe procedure with good results.

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