DIAGNOSIS AND MANAGEMENT OF LOST MUSCLE FOLLOWING STRABISMUS SURGERY |
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Authors: | F BILLSON FRACO FRACS A FITZGERALD DipAppSci DOBA |
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Affiliation: | professor of Ophthalmology, The University of Sydney;Department of Clinical Ophthalmology, Sydney Eye Hospital |
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Abstract: | Of all the complications of strabismus surgery, the lost muscle is one of the most alarming, and yet with patience and careful management it may be one of the most amenable to treatment. This paper reports seven cases of lost muscle following strabismus surgery, in six of the seven cases referred to the Department of Clinical Ophthalmology there had been delay in diagnosis for periods varying from six weeks to 17 years. All the lost muscles were successfully retrieved. With good illumination and magnification and a careful search of the sub-Tenon's capsule space it is unusual to need to explore the orbital fat to retrieve the muscle. |
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Keywords: | Lost muscle strabismus surgery slipped muscle oculo-cardiac reflex medial rectus lateral rectus inferior rectus overcorrection undercorrection |
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