Surgical Correction for Paralytic Strabismus Using T-Plate Anchor

Anwar Ramadhan, Raed Behbehani, Mishari Dahrab, Haitham Murad

Al-Bahar Ophthalmology Center, Kuwait City, Kuwait.
Department of Oral and Maxillofacial Surgery, Amiri Hospital, Kuwait City, Kuwait.

DOI: 10.4236/ojoph.2014.42006                

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.

Keywords

T-Plate, Paralytic Strabismus, Anchor

Conflicts of Interest

The authors declare no conflicts of interest.

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