Korean J Ophthalmol.  2004 Dec;18(2):180-184. 10.3341/kjo.2004.18.2.180.

A Case of Surgical Repair in Strabismus Fixus with Ptosis

• Yang YH
• Yim HB

• KMID: 754385
• DOI: http://doi.org/10.3341/kjo.2004.18.2.180

Abstract

Strabismus fixus is very rare and the convergent form is rarely accompanied by blepharoptosis. We successfully treated one patient with high myopia whose convergent strabismus fixus, accompanied by blepharoptosis, became severe after cataract surgery. We report the case with a discussion of its pathology. We performed levator advancement operation, bilateral lateral rectus 11 mm resection, and bilateral medial rectus 8 mm recession. The suture was removed after maintaining temporary traction suture for 6 days. Blepharoptosis was completely corrected by postoperative 2 months. Esodeviation was 15PD, which was not increased compared with immediately after surgery. Satisfactory cosmetic outcome was obtained.

Keyword

blepharoptosis; cataract surgery; strabismus fixus

MeSH Terms

Aged
Blepharoptosis/complications/*surgery
Female
Humans
Myopia/complications
Oculomotor Muscles/*surgery
Ophthalmologic Surgical Procedures/methods
Strabismus/complications/*surgery
Treatment Outcome

Figure

• 

  Fig. 1 Convergent strabismus fixus with severe esodeviation of both eyes. Its 9 cardinal directions of the gaze show severe limitation at lateral and upward gaze.

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  Fig. 2 Preoperative photograph shows blepharoptosis of the right eye.

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  Fig. 3 Postoperative 9 cardinal directions of the gaze show extreme adduction and blepharoptosis is improved.

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