Journal
EUROPEAN JOURNAL OF OPHTHALMOLOGY
Volume 32, Issue 1, Pages NP218-NP222Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/1120672120957585
Keywords
Strabismus; strabismus surgery; complications; ocular motility disorders; pediatric ophthalmology; eye movement disorders; ocular Trauma (includes Shaken Baby)
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Pulled-in-two syndrome is a serious complication of strabismus surgery, where an extraocular muscle is ruptured. Transposition of the inferior oblique muscle can be a potential technique for treatment if the muscle cannot be retrieved.
Pulled-in-two syndrome (PITS) is a serious intraoperative complication of strabismus surgery in which an extraocular muscle manipulated during the procedure is ruptured and potentially lost. Usually, there is a systemic or local condition that determines muscle weakness when put under tension. If the proximal portion of the broken muscle can be found, it can be reattached to the ocular globe or remaining muscle. If this is not possible, there are multiple varying approaches. We present three cases of PITS of the inferior rectus muscle, treated with good results with anterior and nasal transposition of the inferior oblique muscle. We propose this surgery as another potential technique if the muscle can not be retrieved.
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