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Loop myopexy with true muscle transplantation for very large angle heavy eye syndrome patient

A 42-year-old man presenting with complaints of squint for last 20 years. His visual acuity was 20/400 in right eye (RE) and 20/30 in left eye (LE) with glasses. His refraction was RE -16.75/-2.5 D cycl 180 and LE was -14.5/-1.5 D cycl 180. His axial length was 31.23 mm In RE and 29.72 mm in LE. On...

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Detalles Bibliográficos
Autores principales: Jethani, Jitendra, Amin, Sonal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4363965/
https://www.ncbi.nlm.nih.gov/pubmed/25686070
http://dx.doi.org/10.4103/0301-4738.151480
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author Jethani, Jitendra
Amin, Sonal
author_facet Jethani, Jitendra
Amin, Sonal
author_sort Jethani, Jitendra
collection PubMed
description A 42-year-old man presenting with complaints of squint for last 20 years. His visual acuity was 20/400 in right eye (RE) and 20/30 in left eye (LE) with glasses. His refraction was RE -16.75/-2.5 D cycl 180 and LE was -14.5/-1.5 D cycl 180. His axial length was 31.23 mm In RE and 29.72 mm in LE. On examination we found he had RE large esotropia with hypotropia measuring 130 pd base out and 40 pd base up in RE. A computerized tomography scan revealed that the superior rectus (SR) was shifted nasally, and lateral rectus (LR) was shifted inferiorly. A RE medial rectus (MR) recession and LR resection with muscle transplantation on the MR was done. A loop myopexy was done to correct the path of the LR and SR. The patient had only 18 pd eso and 20 pd hypo on follow-up after 3 months. Loop myopexy in conjunction with muscle transplantation is a safe and effective procedure for large angle esotropia associated with heavy eye syndrome.
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spelling pubmed-43639652015-03-25 Loop myopexy with true muscle transplantation for very large angle heavy eye syndrome patient Jethani, Jitendra Amin, Sonal Indian J Ophthalmol Brief Communications A 42-year-old man presenting with complaints of squint for last 20 years. His visual acuity was 20/400 in right eye (RE) and 20/30 in left eye (LE) with glasses. His refraction was RE -16.75/-2.5 D cycl 180 and LE was -14.5/-1.5 D cycl 180. His axial length was 31.23 mm In RE and 29.72 mm in LE. On examination we found he had RE large esotropia with hypotropia measuring 130 pd base out and 40 pd base up in RE. A computerized tomography scan revealed that the superior rectus (SR) was shifted nasally, and lateral rectus (LR) was shifted inferiorly. A RE medial rectus (MR) recession and LR resection with muscle transplantation on the MR was done. A loop myopexy was done to correct the path of the LR and SR. The patient had only 18 pd eso and 20 pd hypo on follow-up after 3 months. Loop myopexy in conjunction with muscle transplantation is a safe and effective procedure for large angle esotropia associated with heavy eye syndrome. Medknow Publications & Media Pvt Ltd 2015-01 /pmc/articles/PMC4363965/ /pubmed/25686070 http://dx.doi.org/10.4103/0301-4738.151480 Text en Copyright: © Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Brief Communications
Jethani, Jitendra
Amin, Sonal
Loop myopexy with true muscle transplantation for very large angle heavy eye syndrome patient
title Loop myopexy with true muscle transplantation for very large angle heavy eye syndrome patient
title_full Loop myopexy with true muscle transplantation for very large angle heavy eye syndrome patient
title_fullStr Loop myopexy with true muscle transplantation for very large angle heavy eye syndrome patient
title_full_unstemmed Loop myopexy with true muscle transplantation for very large angle heavy eye syndrome patient
title_short Loop myopexy with true muscle transplantation for very large angle heavy eye syndrome patient
title_sort loop myopexy with true muscle transplantation for very large angle heavy eye syndrome patient
topic Brief Communications
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4363965/
https://www.ncbi.nlm.nih.gov/pubmed/25686070
http://dx.doi.org/10.4103/0301-4738.151480
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