Strabismus Surgery in Congenital Fibrosis of the Extraocular Muscles: A Paradigm

Şener, Emin Cumhur; Şekeroğlu, Hande Taylan; Ural, Özlem; Öztürk, Bayram; Sanaç, Ali Şefik

doi:10.3109/13816810.2014.973044

Cited by 14 publications

(12 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Synergistic divergence can occur as an isolated finding or in the setting of CFEOM 16. Oystreck and associates35 performed genetic sequencing for patients with synergistic divergence who did not meet the clinical criteria for CFEOM and showed no mutations in KIF21A, PHOX2A, HOXA1 or ROBO3.…”

Section: Discussionmentioning

confidence: 99%

Synergistic divergence: case series and literature review

Awadein

Zedan

2017

Br J Ophthalmol

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Synergistic divergence: case series and literature review

Awadein

Zedan

2017

Br J Ophthalmol

View full text Add to dashboard Cite

show abstract

“…or recession of a lateral rectus, in contrast, has not been as powerful as suturing it to the lateral orbital periosteum in decreasing the exotropia in CFEOM. [ 8 ] Merely cutting the muscle free of its attachment to the globe is often unpredictable. The muscle may reattach to the globe and continue to exact some force on the globe.…”

Section: Discussionmentioning

confidence: 99%

Management of a case of divergent strabismus fixus secondary to a congenital fibrosis of extraocular muscles type 2

Matalia

Panmand

Ghalla

2017

Indian J Ophthalmol

View full text Add to dashboard Cite

A 17-year-old boy presented with a large exotropia with both eyes fixed in an abduction and upgaze, pupillary involvement since childhood. He had mild optic nerve hypoplasia in the right eye and situs inversus of the retinal vessels in the left optic disc. His ocular motility showed restriction of eye movements in all gazes. He was diagnosed with congenital fibrosis of extraocular muscles, type 2 (CFEOM2) and operated upon in a staged procedure with a satisfactory eye alignment using hang-back sutures in one eye and periosteal fixation in the other. This report highlights the surgical course and final outcome in this case of CFEOM2.

show abstract

“…The traction suture was often used for patients with > 35 PD hypertropia and removed at 1 week after surgery. An alignment for vertical strabismus postoperative was considered as excellent with ≤ 10 PD, good with ≤ 20 PD and poor with > 20 PD [ 12 ].…”

Section: Methodsmentioning

confidence: 99%

“…CFEOM is a congenital, non-progressive restrictive strabismus sub-classified as CFEOM1, CFEOM2 or CFEOM3 and may be accompanied by ptosis and aberrant innervation [1]. There have been numerous studies on the clinical features, subclassification, surgical treatments and underlying genetic etiology of CFEOMs [1][2][3][4][5][6][7][8][9][10][11][12][13]. Results from previous genetic and neuroimaging studies have established that CFEOM is neurogenic, resulting in fibrotic tissue or atrophy of extraocular muscles due to deficiencies in the innervation of these muscles [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Clinical Characteristics and Surgical Outcomes of Patients with Congenital Fibrosis of the Superior Rectus Muscle

Yang

Yan

2022

Ophthalmol Ther

View full text Add to dashboard Cite

Introduction: Congenital fibrosis of superior rectus muscle (CFSRM) is extremely rare and a difficult condition to manage surgically. The purpose of this report is to summarize the clinical characteristics of patients with CFSRM and analyze the effects of its surgical management. Methods: Records of nine CFSRM patients were retrospectively reviewed and their clinical features including age, gender, visual acuity, refraction, ocular alignment, ocular motility, surgical method employed and final outcomes were analyzed. Results: All cases were monocular. There were four cases (44.4%) coexistent with fibrosis of the levator palpebrae muscle and three (33.3%) with fibrosis of the superior oblique muscle. Eight cases (88.9%) presented with hypertropia, and one case showed mild hypotropia.Horizontal deviation was presented in six cases (66.7%). Surgical approaches included either superior rectus recession/tenotomy with or without traction suture; superior rectus recession and inferior rectus resection; or adhesion separation of superior rectus and levator palpebrae muscles. Excellent surgical outcomes were obtained in five cases (55.6%), good in two (22.2%), and poor outcomes were reported for two cases (22.2%). One patient (11.1%) underwent a second surgery. Conclusion: CFSRM was found to be mainly unilaterally infected, mostly manifesting as hypertropia, and was often associated with fibrosis of the levator palpebrae or superior oblique muscle. Weakening procedures of the superior rectus muscle were the preferred surgical technique. However, success rates were relatively low for CFSRM.

show abstract

Strabismus Surgery in Congenital Fibrosis of the Extraocular Muscles: A Paradigm

Cited by 14 publications

References 23 publications

Synergistic divergence: case series and literature review

Synergistic divergence: case series and literature review

Management of a case of divergent strabismus fixus secondary to a congenital fibrosis of extraocular muscles type 2

Clinical Characteristics and Surgical Outcomes of Patients with Congenital Fibrosis of the Superior Rectus Muscle

Contact Info

Product

Resources

About