The Use of Titanium T-Plate as Platform for Globe Alignment in Severe Paralytic and Restrictive Strabismus

Tse, David T.; Shriver, Erin M.; Krantz, Kenneth B.; Tse, Jeffrey D.; Capó, Hilda; McKeown, Craig A.

doi:10.1016/j.ajo.2010.03.029

Cited by 23 publications

(8 citation statements)

References 18 publications

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“…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 .…”

Section: Globe Fixation Proceduresmentioning

confidence: 99%

Periosteal fixation procedures in the management of incomitant strabismus

Saxena

Phuljhele

Sharma

et al. 2015

Middle East Afr J Ophthalmol

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Managing a case of incomitant strabismus from nerve palsy or extraocular muscle loss is a major challenge. Among possible management options are globe or extraocular muscle fixation to the orbital wall coupled with weakening or strengthening of the relevant antagonist. Extraocular muscle fixation to the orbital wall can also be used in cases of abnormal synkinesis to eliminate the abnormal eye movements of a misfiring extraocular muscle, which thereby allows the use of standard paralytic strabismus surgery techniques. This review article summarizes indications and techniques of periosteal fixation procedures for incomitant strabismus.

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Section: Globe Fixation Proceduresmentioning

confidence: 99%

Periosteal fixation procedures in the management of incomitant strabismus

Saxena

Phuljhele

Sharma

et al. 2015

Middle East Afr J Ophthalmol

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“…He showed no relapse of alignment or plate infection after almost 60 months follow up [8]. We think that the technique we used has more longevity compared to direct fixation of the extraocular muscles to the periosteum.…”

Section: Discussionmentioning

confidence: 84%

“…Recently, many reports were published on non-exraocular method for correcting severe or paralytic strabismus [8]- [14]. Kuldeep et al performed a technique for globe fixation on 5 cases with paralytic strabismus due to oculomotor nerve palsy with the use of non-absorbable suture with fixation the medial rectus muscle to the medial palpebral ligament and periosteum.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, techniques of fixation of the effected muscles to the periosteum or directly onto bone have been re-ported [8]- [11]. With the use of non-absorbable suture or any autologous vascularized or non-vascularized tissue, the paralytic muscle can be fixed onto the periosteum to neutralize the force generated by the opposing non-affected muscle [8]- [14]. Herein, we report a case of strabismus as a result of oculmotor nerve palsy in which we utilize a T-plate anchored to the medial orbital wall of the orbit to be a fixation site for the paralytic medical rectus muscle.…”

Section: Introductionmentioning

confidence: 99%

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Surgical Correction for Paralytic Strabismus Using T-Plate Anchor

Ramadhan¹,

Behbehani²,

Dahrab³

et al. 2014

OJOph

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External or internal ophthalmoloplegia will result in a complete or a partial ocular dysmotility leading to a debilitating and variable manifest binocular diplopia for a majority of the patients. Complete third, forth and sixth nerve cranial nerve palsies are among the many number of etiologies appearing as paralytic strabismus. Successful clinical management, elimination of symptomatic diplopia in the primary field of gaze and increased binocular field of motor and sensory fusion as a result of the oculomotor nerve (III) palsy are challenging tasks for physicians facing this difficult clinical entity. Here we report a novel surgical technique in the clinical management of this disease through suture-fixation of medial rectus muscle onto Titanium plate (T-plate) already anchored into the nasal orbital wall.

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“…Such procedures may require traction sutures for a week, and cause significant edema and discomfort in the nasal bulbar conjunctiva and medial canthus. The suture/T-plate anchoring platform system [52] anchors the globe by sutures to a titanium T-plate screwed to the orbital wall. Yonghong et al [39] performed globe fixation for combined oculomotor and superior oblique palsy.…”

Section: Globe Anchoring Proceduresmentioning

confidence: 99%

Managing the patient with oculomotor nerve palsy

Sadagopan

Wasserman

2013

Current Opinion in Ophthalmology

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Management of oculomotor nerve palsy depends in part upon the underlying cause and anatomical location of the lesion. Careful clinical evaluation and appropriate imaging can identify a definitive cause in most cases. Surgical options depend on the number, extent, and severity of the muscles involved as well as the presence or absence of signs of aberrant regeneration. The clinician should also address issues that arise due to involvement of the pupil and accommodation. Strabismus surgery can be challenging but also rewarding with appropriate selection and staging of procedures.

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The Use of Titanium T-Plate as Platform for Globe Alignment in Severe Paralytic and Restrictive Strabismus

Cited by 23 publications

References 18 publications

Periosteal fixation procedures in the management of incomitant strabismus

Periosteal fixation procedures in the management of incomitant strabismus

Surgical Correction for Paralytic Strabismus Using T-Plate Anchor

Managing the patient with oculomotor nerve palsy

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