Modified minimally invasive strabismus surgery

Authors

Keywords:

complications, oculomotor muscles, strabismus.

Abstract

Introduction: Minimally invasive strabismus surgery has revolutionized the concept of traditional strabismus surgery. This procedure is performed with minimal anatomical disruption between the muscle and perimuscular tissue.
Objective: To describe a proposed modification to the minimally invasive strabismus surgery technique.
Method: The literature in Spanish and English was reviewed, without date restrictions, to investigate reported modifications to the minimally invasive strabismus surgery technique. In the revised modifications, the possibility of the complication of slipped muscle or lost muscle coexists. To perform a safe surgical technique, the aspects that can influence it are identified, which are muscle grip and scleral fixation, without expanding the microincisions.
Results: In the modified technique, curved Moody-Castroviejo forceps were used to expand the operating field. A single nonabsorbable polyglycolic acid suture was used for muscle attachment; it is passed first through the muscle thickness and then through the upper and lower ends of the muscle insertion, which offers safety to the procedure. The use of the Dardenne, an ophthalmological instrument used in performing pupilloplasties, is proposed to bring the opposite end of the suture and make a Siepser knot. When cutting the suture, the ends remain below the conjunctival tunnel, without expanding microincisions.
Conclusions: Proposed modifications to the minimally invasive strabismus surgery technique, allow better grip and fixation of the muscle.

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Author Biographies

Teresita de Jesús Méndez Sánchez, Instituto Cubano de Oftalmología "Ramón Pando Ferrer"

Especialista de 2do grado de Oftalmología. Investigador Auxiliar. Profesor Auxiliar. Máster en Atención integral al niño. Servicio de Oftalmología Pediátrica y Estrabismo. Instituto Cubano de Oftalmología "Ramón Pando Ferrer". La Habana, Cuba. Tesorera de la Sociedad Cubana de Oftalmología

Juan Raúl Hernández Silva, Instituto Cubano de Oftalmología "Ramón Pando Ferrer"

Dr C, profesor titular, investigador titular. Miembro de la Academia de Ciencias de Cuba. Especialista de 2do grado de Oftalmología. Servicio de Catarata. Instituto Cubano de Oftalmología "Ramón Pando Ferrer". La Habana, Cuba. presidente de la Sociedad Cubana de Oftalmología

Haymy Caridad Casanueva Cabeza, Instituto Cubano de Oftalmología "Ramón Pando Ferrer"

Especialista de primer grado en Medicina General Integral y de 2do grado de Oftalmología. Profesor Asistente. Investigador Agregado. Servicio de Oftalmología Pediátrica y Estrabismo. Instituto Cubano de Oftalmología "Ramón Pando Ferrer". La Habana, Cuba.

Ariadna Corral Martín, Universidad de Ciencias Médicas de las FAR, Cuba

Dr C, Profesora Titular, investigadora auxiliar. Especialista 1er grado MGI y Bioestadística. Universidad de Ciencias Médicas de las FAR, Cuba

Iván Hernández López, Instituto Cubano de Oftalmología "Ramón Pando Ferrer"

DrC, profesor auxiliar, investigador auxiliar. Especialista de 2do grado de Oftalmología. Servicio de Catarata. Instituto Cubano de Oftalmología "Ramón Pando Ferrer". La Habana, Cuba.

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Published

2023-12-21

How to Cite

1.
Méndez Sánchez T de J, Hernández Silva JR, Casanueva Cabeza HC, Corral Martín A, Hernández López I. Modified minimally invasive strabismus surgery. Rev Cubana Med Milit [Internet]. 2023 Dec. 21 [cited 2025 Mar. 14];53(1):e024016541. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/16541

Issue

Vol. 53 No. 1 (2024): January - March

Section

Technology Presentation

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