Surgical Management of Strabismus Following Vitreo-Retinal Surgery

Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison, Wisconsin 53705, USA.
American Orthoptic Journal 07/2012; 62(1):44-49. DOI: 10.3368/aoj.62.1.44


orders, have been well described. 1– 5 Most commonly, these motility disorders follow scleral buckle repair for retinal detach-ment; however, strabismus has also been described following vitrectomy, pneumatic retinopexy, and cryotherapy alone. 6– 8 While the mechanisms by which stra-bismus develops have not been rigorously studied, it is clear that multiple etiologic factors are often present in the same indi-vidual. In scleral buckling surgery, which will be the focus of this discussion, the pro-posed mechanisms that create strabismus include: sensory disturbance, muscle re-strictions, redirection of muscle forces, direct muscle injury, malpositioning or

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