Anterior segment ischemia after strabismus surgery

Saunders, Richard; Bluestein, Ettaleah C.; Wilson, M. Edward; Berland, Jerry E.

doi:10.1016/0039-6257(94)90175-9

Cited by 83 publications

(49 citation statements)

References 47 publications

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“…Additionally, surgical tenotomy is widely used in ophthalmology for realignment of the optic axis. 56 Tenotomy is commonly performed in foot and ankle surgery for treatment of hallux valgus, in hand surgery for tendon transfers and treatment of mallet finger, 15 in sports medicine for treatment of tendinitis, 45 in the treatment of rheumatologic diseases such as hamstring tenotomy for hemophiliac arthropathy of the knee, in pediatric orthopedics for correction of deformities in cerebral palsy, 20,53 and in traumatology for the management of compartment syndrome contractures. 33 Thus, it is important to understand the effects of tenotomy on skeletal muscle both acutely, immediately after the surgery, as well as in the long term, after the muscle has had the chance to adapt to its new environment.…”

mentioning

confidence: 99%

Skeletal muscle response to tenotomy

et al. 2000

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mentioning

confidence: 99%

Skeletal muscle response to tenotomy

et al. 2000

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“…Other signs of anterior segment ischemia which was seen in this patient were anterior chamber reaction, ischemic iris dilator pupillae, mild cornea edema, rubeosis iridis and raised intraocular pressure. Signs not seen in this patient are hyphema, striate keratopathy, iris atrophy and ocular hypotony (12). Anterior segment ischemia is more common in encircling buckles than segmental buckles.…”

Section: Discussionmentioning

confidence: 84%

Recurrent Orbital Cellulitis Secondary to the ‘Forgotten’ Scleral Buckle: A Case Report

Bastion¹

2017

JSA

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Scleral buckle placement is a well-established technique for the treatment of primary rhegmatogenous retinal detachment. Complications associated with scleral buckle are uncommon and its presentations can be vary. We report a case of recurrent orbital cellulitis with anterior segment ischemia following a forgotten episode of previous scleral buckling surgery, presenting with blurring of vision, redness and swelling of the lids. The presence of scleral buckle was detected by detailed examination and confirmed by orbital imaging. Orbital infection and rubeosis iridis were successfully treated with scleral buckle removal, intravenous antibiotics and intracameral ranibizumab. However, the retinal detachment recurred and the visual acuity deteriorated to light perception. There was no further intervention as the family declined in view of her old age. In cases of recurrent orbital infection, detailed clinical examination is important to look for evidence of ocular prostheses as a source of infection. Orbital imaging is an adjunct for making the diagnosis especially in cases where history is unreliable. Anterior segment ischemia due to scleral buckle responds well to buckle removal with ranibizumab injection.

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“…(France & Simon, 1986) This risk increases with old age and other vascular and blood diseases. (Saunders et al, 1994;Wan & Hunter, 2014). Most reported cases involve operating on 3 or 4 rectus muscles, even if the surgery is staged.…”

Section: Discussionmentioning

confidence: 99%

Vertical Muscle Transposition with Augmentation for Treatment of Exotropia Caused by Iatrogenic Lost Medial Rectus Muscle

2016

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Purpose: To evaluate the results of vertical muscle transposition with augmentation in cases of exotropia caused by iatrogenic lost medial rectus muscle.Methods: This is a retrospective review of 5 cases of lost medial rectus with exotropia and marked limitation of adduction that underwent surgery. All cases had a history of strabismus surgery on the medial rectus and failed attempt at retrieval of the lost muscle.

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Anterior segment ischemia after strabismus surgery

Cited by 83 publications

References 47 publications

Skeletal muscle response to tenotomy

Skeletal muscle response to tenotomy

Recurrent Orbital Cellulitis Secondary to the ‘Forgotten’ Scleral Buckle: A Case Report

Vertical Muscle Transposition with Augmentation for Treatment of Exotropia Caused by Iatrogenic Lost Medial Rectus Muscle

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