Combined intraocular lens and strabismus surgery

Maltzman, Barry A.; Caputo, Anthony R.; Cinotti, Donald J.

doi:10.1016/s0886-3350(86)80065-7

Cited by 6 publications

(3 citation statements)

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“…It was first described by Maltzman et al . [ 20 ] in 1986, where they reported on a series of 10 patients with large angle concomitant exotropia and cataract. They documented visual success in 8/10 patients and achieved strabismus success in 9/10 patients.…”

Section: Discussionmentioning

confidence: 99%

Augmented loop myopexy with concurrent intraocular lens implantation for myopic strabismus fixus

Shetty

Aguiar

Vijayalakshmi

et al. 2023

Indian Journal of Ophthalmology

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Purpose: To evaluate safety profile and surgical outcomes of loop myopexy with concurrent intra-ocular lens implantation in cases of myopic strabismus fixus (MSF). Methods: A retrospective chart review of patients who underwent loop myopexy with concurrent small incision cataract surgery with intra-ocular lens implantation between January 2017 and July 2021 for MSF at a tertiary eye care centre was undertaken. A minimum of 6 months of follow-up after surgery was required for inclusion. The main outcome measures were improvement in alignment postoperatively, improvement in extra-ocular motility postoperatively, intraoperative and postoperative complications and post-operative visual acuity. Results: 12 eyes of 7 patients (male (6): female (1)) underwent modified loop myopexy at a mean age of 46.86 years (range 32-65 years). 5 patients underwent bilateral loop myopexy with intra-ocular lens implantation whereas 2 patients underwent unilateral loop with intra-ocular lens implantation. All eyes underwent additional medial rectus (MR) recession with lateral rectus (LR) plication. At the last follow-up, mean esotropia improved to 16 prism dioptres (PD) (Range: 10-20 PD) from 80 PD (Range:60-90PD), P = 0.016; and success (deviation ≤20PD) was achieved in 73% (95% CI 48 to 89%). Mean hypotropia at presentation was 10 PD (range 6-14 PD), which improved to 0 PD (range 0-9 PD), P = 0.063. Mean BCVA improved from 1.08 LogMar to 0.3 LogMar units. Conclusion: Loop myopexy combined with intra-ocular lens implantation is a safe and effective procedure in the management of patients who have Myopic Strabismus Fixus with visually significant cataract and improves both visual acuity and ocular alignment significantly.

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Section: Discussionmentioning

confidence: 99%

Augmented loop myopexy with concurrent intraocular lens implantation for myopic strabismus fixus

Shetty

Aguiar

Vijayalakshmi

et al. 2023

Indian Journal of Ophthalmology

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“…However, whilst the potential benefits of combined surgery for vitreoretinal and cataract,2 and glaucoma and cataract3 pathologies are well documented, there are very few reports of cataract and strabismus surgery being performed as a combined procedure. 4,5 Combined cataract and strabismus surgery was first described by Maltzman et al 4 They presented a series of 10 patients with large-angle, concomitant exotropia and cataract who underwent combined horizontal strabismus and extracapsular cataract surgery. Their results prompted them to conclude that combined surgery in large-angle exotropias was a safe procedure which had the benefit of allowing the patient earlier visual rehabilitation than otherwise would have occurred.…”

Section: Discussionmentioning

confidence: 99%

Combined strabismus and phacoemulsification cataract surgery: A useful option in selected patients

Squirrell

Edwards

Burke

2001

Eye

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“…[1][2][3][4][5] Combining cataract extraction or other lens procedures with strabismus correction may reduce the number of surgical and anesthetic procedures, speed rehabilitation, and offer financial benefit to the patient and third-party payors. However, concerns may arise regarding a potential increased risk of postoperative infection, anterior segment ischemia, or excessive discomfort for the patient.…”

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confidence: 99%