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Abstract
PURPOSE: To describe outcomes after partial scleral buckle removal at the time of strabismus surgery.METHODS: The medical records of consecutive patients with symptomatic diplopia who underwent strabismus surgery after scleral buckling by two surgeons were reviewed retrospectively. All patients underwent forced duction testing and had a segment of the scleral buckle removed intraoperatively. Pre- and postoperative ocular motility and alignment were compared. The outcome was considered successful if residual horizontal deviation was =8Delta, vertical deviation =2Delta, and cyclotropia <5°.RESULTS: A total of 12 patients (mean age, 51 years; range, 14-71 years) with a mean horizontal deviation of 16Delta (range, 2Delta-40Delta) and mean vertical deviation of 10Delta (range, 2Delta-20Delta) were included. Three patients underwent 2 strabismus surgeries. All patients underwent intraoperative removal of a segment of the scleral buckle near a muscle being advanced or recessed at the time of surgery. An adjustable suture technique was used in 13 of 15 surgeries (86%). Orthotropia was achieved in 7 patients (58%); surgical success, in 11 (92%). Subjective resolution of diplopia was achieved in all patients, in 2 with the aid of prisms. Mean follow-up was 12.4 months (range, 1-75). No patient had retinal redetachment.CONCLUSIONS: In this case series, removal of a segment of the scleral buckle facilitated advancement or recession of a rectus muscle and was associated with good outcomes without retinal redetachment.
View details for PubMedID 30625364