The clinical efficacy of the modified musculoplasty of extraocular muscles

Written by Alishunin L.V.

  UDK: 617.758.1-089.844 DOI: 10.17238/PmJ1609-1175.2016.3.70–71 | Pages: 70–71 | Full text PDF | Open PDF 


Objective. It was developed an original modification of musculoplasty of an extraocular eye muscle to treat strabismus.  Methods. We observed 32 patients with the conjugate monolateral entropy. In all cases, in order to reduce the deviation angle was performed a modified musculoplasty of internal rectus of a squinting eye. Results. Evaluation of treatment results showed a statistically significant decrease in the mean angle of deviation in the total population of patients with a 24,5±2,7 to 6,3±4,1° (p<0.05). Conclusions. The use of the modified musculoplasty in the correction of strabismus with deviation 15–17° enables to eliminate the defect and to reduce the number of operated muscles. At angles of deviation of more than 17° musculoplasty must be combined with one-stage ‘amplification’ of the antagonist muscles, thus reducing the number of stages of the surgical correction of strabismus.

Links to authors:

L.V. Alishunin
Primorskyi center of eye microsurgery (100e Borisenko St. Vladivostok 690088 Russian Federation)

1. Avetisov E.S. Concomitant strabismus. М.: Meditsina, 1997. 287 p.
2. Avetisov E.S., Makhkamova Kh.M. Technique and dosing of surgical operations at the concomitant strabismus // Annals of Ophthalmology. 1966. No. 1. P. 9–16.
3. Alishunin L.V. Method of median myoplasty of the extraocular muscle: patent RF No. 2423068 from 10.20.2013. Bulletin No. 29.
4. Zhukova O.V., Stepanov V.K., Zolotarev A.V. Long-term results of surgical treatment of convergent concomitant strabismus in children operated on using the new dosing regimen intervention muscles // Saratov Journal of Medical Scientific Research. 2011. Vol. 7, No. 4. P. 857–859.
5. Federal guidelines for the diagnosis and treatment of concomitant strabismus. М.: Association of ophthalmologists, 2014. 25 p.
6. Fedyashev G.A. Correction of astigmatism with toric intraocular lenses in patients cataract surgery // Ophthalmology. 2013. Vol. 10, No. 2. P. 8–12.
7. Teterina T.P. The effectiveness of the muscle lengthening surgery during concomitant strabismus and histological examination of the operated muscle in the experiment // Annals of Ophthalmology. 1966. No. 1. P. 22–25.
8. Raiyawa T., Jariyakosol S., Praneeprachachon P. [et al.]. Outcomes of 3 or 4 horizontal muscles surgery in large-angle exotropia // Asia Pac. J. Ophthalmol. 2015. No. 4. P. 208–211.


Founded in 1997  |  Editions in a year: 4, Articles in one issue: 30 |  ISSN of print version: 1609-1175  |  Ind.: 18410 (Agency "Rospechat’")  |  Edition: 1000 c.