DR. ANVITHA M

DR. RAMAN YENUGANDULA

Abstract

A 25 year female presented with outward deviation of left eye since 22 years. She had trauma to LE when she was 3-yrs-old for which primary wound repair with ECCE & PCIOL implantation was done in 1998. BCVA: OD-6/9; OS-HM. On examination, OS had a linear corneal scar at 9’o clock with optic capture & thick membranous adhesions between IOL & iris. HCRT-45° exodeviation in OS & reflex was centered with 60PD base in prism on Krimskys test. EOM were full & free. Fundus: OD normal; OS-no view & (OS)B-Scan: few vitreous degenerations with normal RCS. Patient underwent OS lateral rectus 10mm recession and medial rectus 6mm resection with medial rectus transplantation & surgical capsulotomy in a single sitting.

The patients HCRT was central in both eyes and OS vision was CF-1 mt on POD-1

Medial rectus transplantation combined with surgical capsulotomy as a combined procedure is an effective approach to obtain good results in large angle sensory exotropias avoiding sequential surgeries.