Unilateral Congenital Fibrosis of the Extraocular Muscles with Lid Retraction: Surgical Treatment with a Silicon Plate on the Orbital Floor
March 2011, Vol. 19, No. 1
,
Pages 12-16
(doi:10.3109/09273972.2010.545467)
Claudia E. Murillo-Correa, MD1, Martha Jaimes, MD1, Fernando Martin, MD2, Jessica Vargas-Ortega, MD1, Angel Nava-Castañeda, MD3
1Institute of Ophthalmology, Fundación Conde de Valenciana, Strabismus Department, Mexico City, Mexico
2Institute of Ophthalmology, Fundación Conde de Valenciana, Radiology Department, Mexico City, Mexico
3Institute of Ophthalmology, Fundación Conde de Valenciana, Oculoplastics Department, Mexico City, Mexico
Fibrosis of the extraocular muscles can be an acquired or congenital disorder (CFEOM). The congenital disorder1 is a complex strabismus with congenital restrictive ophthalmoplegia with or without ptosis. The surgery is challenging because the eye muscles are replaced by fibrous tissue or fibrous bands and in most cases the results are not satisfactory. We present the first case report of unilateral CFEOM with palpebral adherence and hypotropia, which was managed with our technique of a silicon plate implant on the orbital floor. The purpose of the implantation of the silicon plate in the orbital floor is to improve the hypotropia caused by CFEOM.
