Heavy eye syndrome in a myopic patient with prior scleral buckle surgery for rhegmatogenous retinal detachment: Differential diagnosis and management

PURPOSE: To present a challenging case of heavy eye syndrome (HES) in a 56-year-old female who previously underwent scleral buckle surgery in both eyes. OBSERVATIONS: Ophthalmic tests indicated a diagnosis of HES, confirmed using pre and postoperative magnetic resonance imaging (MRI). A silicone ban...

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Autores principales: Alarfaj, Motazz, Al-Owaid, Abdullah, Alkhaldi, Hamdah, Elkhamary, Sahar, Sesma, Gorka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8858879/
https://www.ncbi.nlm.nih.gov/pubmed/35243158
http://dx.doi.org/10.1016/j.ajoc.2022.101418
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author Alarfaj, Motazz
Al-Owaid, Abdullah
Alkhaldi, Hamdah
Elkhamary, Sahar
Sesma, Gorka
author_facet Alarfaj, Motazz
Al-Owaid, Abdullah
Alkhaldi, Hamdah
Elkhamary, Sahar
Sesma, Gorka
author_sort Alarfaj, Motazz
collection PubMed
description PURPOSE: To present a challenging case of heavy eye syndrome (HES) in a 56-year-old female who previously underwent scleral buckle surgery in both eyes. OBSERVATIONS: Ophthalmic tests indicated a diagnosis of HES, confirmed using pre and postoperative magnetic resonance imaging (MRI). A silicone band loop myopexy was performed, successfully improving large angle esotropia at primary position and motility. CONCLUSIONS AND IMPORTANCE: MRI is essential to correctly identify HES, allowing a tailored surgical intervention that may lead to better outcomes for patients. Up to our knowledge, this is the first reported case of scleral fixated silicone band loop myopexy for HES in a previously scleral buckled patient.
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spelling pubmed-88588792022-03-02 Heavy eye syndrome in a myopic patient with prior scleral buckle surgery for rhegmatogenous retinal detachment: Differential diagnosis and management Alarfaj, Motazz Al-Owaid, Abdullah Alkhaldi, Hamdah Elkhamary, Sahar Sesma, Gorka Am J Ophthalmol Case Rep Case Report PURPOSE: To present a challenging case of heavy eye syndrome (HES) in a 56-year-old female who previously underwent scleral buckle surgery in both eyes. OBSERVATIONS: Ophthalmic tests indicated a diagnosis of HES, confirmed using pre and postoperative magnetic resonance imaging (MRI). A silicone band loop myopexy was performed, successfully improving large angle esotropia at primary position and motility. CONCLUSIONS AND IMPORTANCE: MRI is essential to correctly identify HES, allowing a tailored surgical intervention that may lead to better outcomes for patients. Up to our knowledge, this is the first reported case of scleral fixated silicone band loop myopexy for HES in a previously scleral buckled patient. Elsevier 2022-02-15 /pmc/articles/PMC8858879/ /pubmed/35243158 http://dx.doi.org/10.1016/j.ajoc.2022.101418 Text en © 2022 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Alarfaj, Motazz
Al-Owaid, Abdullah
Alkhaldi, Hamdah
Elkhamary, Sahar
Sesma, Gorka
Heavy eye syndrome in a myopic patient with prior scleral buckle surgery for rhegmatogenous retinal detachment: Differential diagnosis and management
title Heavy eye syndrome in a myopic patient with prior scleral buckle surgery for rhegmatogenous retinal detachment: Differential diagnosis and management
title_full Heavy eye syndrome in a myopic patient with prior scleral buckle surgery for rhegmatogenous retinal detachment: Differential diagnosis and management
title_fullStr Heavy eye syndrome in a myopic patient with prior scleral buckle surgery for rhegmatogenous retinal detachment: Differential diagnosis and management
title_full_unstemmed Heavy eye syndrome in a myopic patient with prior scleral buckle surgery for rhegmatogenous retinal detachment: Differential diagnosis and management
title_short Heavy eye syndrome in a myopic patient with prior scleral buckle surgery for rhegmatogenous retinal detachment: Differential diagnosis and management
title_sort heavy eye syndrome in a myopic patient with prior scleral buckle surgery for rhegmatogenous retinal detachment: differential diagnosis and management
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8858879/
https://www.ncbi.nlm.nih.gov/pubmed/35243158
http://dx.doi.org/10.1016/j.ajoc.2022.101418
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