Open AccessPeriosteal fixation procedures in the management of incomitant strabismus
Author(s) -
Rohit Saxena,
Swati Phuljhele,
Pradeep Sharma,
Correia Pinto
Publication year - 2015
Publication title -
middle east african journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.357
H-Index - 25
eISSN - 0975-1599
pISSN - 0974-9233
DOI - 10.4103/0974-9233.159736
Subject(s) - extraocular muscles , medicine , strabismus , fixation (population genetics) , strabismus surgery , eye movement , ophthalmology , population , environmental health
Managing a case of incomitant strabismus from nerve palsy or extraocular muscle loss is a major challenge. Among possible management options are globe or extraocular muscle fixation to the orbital wall coupled with weakening or strengthening of the relevant antagonist. Extraocular muscle fixation to the orbital wall can also be used in cases of abnormal synkinesis to eliminate the abnormal eye movements of a misfiring extraocular muscle, which thereby allows the use of standard paralytic strabismus surgery techniques. This review article summarizes indications and techniques of periosteal fixation procedures for incomitant strabismus.