TITLE:
Surgical Correction for Paralytic Strabismus Using T-Plate Anchor
AUTHORS:
Anwar Ramadhan, Raed Behbehani, Mishari Dahrab, Haitham Murad
KEYWORDS:
T-Plate, Paralytic Strabismus, Anchor
JOURNAL NAME:
Open Journal of Ophthalmology,
Vol.4 No.2,
May
14,
2014
ABSTRACT: 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.