DR.SUJEETH MODABOYINA

DR. AMAR PUJARI, DR. DEEPSEKHAR DAS, Dr.Rajeswari Thangavel

Abstract

Purpose: To describe a simple intra-operative maneuvering during rectus muscle plication.

Methods: Patients who were planned for rectus muscle plication underwent the following intraoperative maneuvering. After the passage of 6-0 polyglactin sutures, a non-serrated, end grasping forceps was passed across the muscle at its midway. After grasping the muscle between the forceps limbs, it was rolled over anteriorly to bring the sutures just anterior to insertion. Following this, the anterior scleral sutures were passed, and knots were tied to achieve the desired folding of the muscle.

Results: Roll-over plication was successfully emulated in a total of 50 patients, and it was technically easier and replicable. The need for triple instrument during regular plication was alleviated by simple roll over maneuver using a non-serrated forceps.

Conclusions: The regular technically difficult muscle hook and lens hook assisted plication can be supplanted by a less traumatic roll over plication.