文章基本信息

标题：Surgery in a Patient with Sensory Exotropia with an Abnormally Attached Lateral Rectus Muscle
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作者：Seung Ha Lee ; Gwang Myung Noh ; Seung Uk Lee 等
期刊名称：Journal of the Korean Ophthalmological Society
印刷版ISSN：0378-6471
出版年度：2021
卷号：62
期号：2
页码：289-293
DOI：10.3341/jkos.2021.62.2.289
出版社：The Korean Ophthalmological Society
摘要：Purpose We report surgical repair of an abnormally attached lateral rectus muscle in a sensory exotropia patient. Case summary A 21-year-old man visited our hospital with lateral deviation in the right eye. The patient had a history of trauma (11 years previously) to the right eye, which showed 30 prism diopters of exotropia. In accordance with a diagnosis of sensory exotropia, 7.5-mm lateral rectus muscle recession and 6-mm medial rectus muscle resection were planned in the right eye. During surgery, the lateral rectus muscle was inserted into the sclera at a distance of 12 mm from the corneal limbus. To compensate for this, the lateral rectus muscle was recessed with an adjustable suture. After surgery, the patient showed 8-10 prism diopters of exotropia. A 2-mm recession was achieved by suturing. After surgery, the patient did not show exotropia, while after 3 months of follow-up the patient showed about 4 prism diopters of esotropia. Conclusions Despite abnormal attachment of an extraocular muscle, it is possible to obtain a good cosmetic result if the surgery is performed according to the preoperative plan. Suturing can be helpful if the surgical field is difficult to secure during the surgery.
其他关键词：Abnormal attachment, Extraocular muscle, Sensory exotropia, Strabismus