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eISSN: 2719-3209
ISSN: 0023-2157
Klinika Oczna / Acta Ophthalmologica Polonica
Bieżący numer Archiwum Filmy Artykuły w druku O czasopiśmie Suplementy Rada naukowa Bazy indeksacyjne Prenumerata Kontakt Zasady publikacji prac Standardy etyczne i procedury
2/2020
vol. 122
 
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Bilateral Yokoyama procedure in a patient with esotropic strabismus fixus due to severe myopia

Katarzyna Pelińska
1
,
Valeriia Peredysta
1
,
Magdalena Sildatke-Bauer
2
,
Piotr Loba
1

1.
Department of Binocular Vision Pathophysiology and Strabismus, First Chair of Ophthalmology, Medical University of Lodz, Poland
2.
Strabismus Outpatient Clinic, St. John Hospital, Starogard Gdański, Poland
KLINIKA OCZNA 2020, 122, 2: 78–81
Data publikacji online: 2020/06/05
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The aim of this case report is to present successful management of bilateral esotropic strabismus fixus due to severe myopia in a 63-year-old female patient. Myopic strabismus fixus is a rare condition that develops in patients with high myopia due to enlarged dimensions of the globe. This type of ocular misalignment may progress from small angle esotropia with free ocular movements, to the stage in which one or both eyes are anchored in a position of extreme adduction. In the case presented, esotropia was so severe that both eyes were fixed in an adducted position. The patient had to adopt a severe head turn in order to make use of her better eye; nevertheless her visual function was poor. We performed a bilateral Yokoyama procedure with simultaneous medial rectus recession. The surgery resulted in a large improvement of ductions and reduction of esotropia. The patient’s visual function improved substantially and the head turn was vastly reduced.
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