Equatorial Loop Myopexy in "Sagging Eye" Syndrome: A Case Report
|Michela Fresina, Laura Sapigni, Cecilia Benedetti*, Giuseppe Giannaccare and Emilio C. Campos|
|Ophthalmology Service, DIMES, University of Bologna, Italy|
|Corresponding Author :||Cecilia Benedetti
Ophthalmology Service, DIMES
University of Bologna, Italy
E-mail: [email protected]
|Received: January 29, 2014; Accepted: May 08, 2014; Published: May 15, 2014|
|Citation: Fresina M, Sapigni L, Benedetti C, Giannaccare G, Campos EC (2014) Equatorial Loop Myopexy in "Sagging Eye" Syndrome: A Case Report. J Clin Exp Ophthalmol 5:337. doi:10.4172/2155-9570.1000337|
|Copyright: © 2014 Fresina M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
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Objective: The origin of acute comitant esotropia, associated with sudden diplopia at distance fixation and binocular single vision for near is unclear. The recent hypothesis that considers divergence paralysis esotropia (DPE) as a mechanical (and not neurological) disease, also called "sagging eye syndrome" (SES) allows a modification of the surgical approach.
Methods: We report a SES case treated with a bilateral lateral rectus muscles sclera fixation at a 10 mm distance from the original insertion.
Results: The day after surgery, and for up to a 6 month follow-up period, the patient remained orthotropic at distance fixation, while fusion was preserved at near fixation.
Conclusion: Equatorial loop myopexy in bilateral sagging eye syndrome is a rapid and safe surgical approach with satisfactory clinical results.