Management of Disinserted Inferior Rectus Muscle by Fixation of Globe to the Inferior Orbital Margin

Abstract

Trauma to the orbital floor is often associated with trauma to the inferior rectus muscle. The currently available options yield inconsistent postoperative results. The authors describe a new technique in which the globe was fixed to the inferior orbital margin with the help of a silicone band and titanium orbital plate.

Periosteal fixation procedures in the management of incomitant strabismus

“…Various autogenous and allogenous materials have been tried, using either skin, retro-caruncular or precaruncular incisions for accessing the medial orbital wall periosteum for fixation. 8 9 10 11 12 13 14 15 16 17 18 A summary of various techniques for the fixation of the globe is presented in Table 1 .…”

“…Saxena et al ., described the use of a similar concept in 2009, for correcting hypertropia using a silicone band and a titanium plate. 18 The technique does not offer any added advantage over the other methods in terms of improvement in ocular movements; however, it does has a potential to serve as a base model for development of a system that can be used as an eye muscle prosthesis. There are differing approaches to the medial orbital wall.…”

“…Saxena et al ., have described anchoring of the globe inferiorly in a case of posttraumatic inferior rectus disinsertion. 18 In this case, the globe was fixed to the floor of the orbit with a silicone band and titanium orbital plate [Figures 1 and 2 ]. A titanium plate was bent at 90° at one end and the other end of the plate and a silicone band was secured through one of the holes with a 4–0 prolene suture.…”