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VOLUME 50 , ISSUE 2ENG ( April, 2022 ) > List of Articles

Correction of Restrictive Strabismus by means of Periosteal Fixation with Silicone Band

Luis Javier Cárdenas Lamas, Marisol Iñiguez Soto, Juan Carlos Juárez Echenique, Silvia Moguel Ancheita, Daniel García Casal, Josafat Franco is Uribe Martínez

Keywords : Restrictive strabismus, oculomotor palsy, diplopia, limitation of movement, muscle transposition, periosteal fixation, silicone band 240

Citation Information : Lamas LJ, Soto MI, Echenique JC, Ancheita SM, Casal DG, Martínez JF. Correction of Restrictive Strabismus by means of Periosteal Fixation with Silicone Band. 2022; 50 (2ENG):20-26.

DOI: 10.5005/hoe-10101-50203

Published Online: 04-04-2022

Copyright Statement:  Copyright © 2022; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Restrictive strabismus are those caused by the presence of mechanical impediments to free rotation. The restriction may be due to muscle contracture, anomalous position of the globe, post-surgical adhesions, and trauma, which produce diplopia and anomalous position of the head. Its correction is usually difficult due to the normal loss of anatomy and altered muscle function. The usual surgical techniques to correct this type of strabismus are muscle transpositions, but many times they are inefficient or cannot be performed due to the risk of ischemia of the anterior segment. Fixation to the periosteum with a silicone band creates an opposing force in the non-functioning muscle with the purpose of restoring parallelism and abolishing diplopia in front, usually not performed with first intention, but it is a safe procedure with good results.

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