Dr.ATULYAKRUTI GUPTA

Dr. SONALI RAO, Dr.ATULYAKRUTI GUPTA

Abstract

Managing large angle exotropia (>75PD) at times can become laborious with the various techniques available. This case series, presents true muscle transplantation, a simple novel technique to attain satisfactory results with minimum hiccup.

Methods

7 patients (4 female, 3 male) of mean age 42+/-17.78yrs with sensory large angle exotropia (70-100PD) underwent detailed pre-op evaluation and refraction followed by muscle transplantation surgery. The stump resected from MR was transplanted to LR with 5-0 nylon suture, along with LR recession. Follow up was done upto 6 months.

Results

The mean deviation of 77.5+/-1.33PD was rendered orthophoric in 2 patients, reduced to 10PD rxt in 3 patients and <5PD rxt in 2 patients. No patient had lateral incomittance and the results were stable beyond 6 months. Conclusion True muscle transplantation for large angle exotropia gives satisfactory and stable results with additional benefit of being a uniocular surgery.