Augmented medial transposition of split lateral rectus in the management of synergistic divergence

Pradeep Sharma; Rohit Saxena; Karthika Bhaskaran; Rebika Dhiman; Anin Sethi; Hameed Obedulla

doi:10.1016/j.jaapos.2019.10.004

Augmented medial transposition of split lateral rectus in the management of synergistic divergence

J AAPOS. 2020 Feb;24(1):37-40. doi: 10.1016/j.jaapos.2019.10.004. Epub 2019 Nov 24.

Authors

Pradeep Sharma¹, Rohit Saxena², Karthika Bhaskaran¹, Rebika Dhiman¹, Anin Sethi¹, Hameed Obedulla¹

Affiliations

¹ Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
² Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. Electronic address: rohitsaxena80@yahoo.com.

PMID: 31775057
DOI: 10.1016/j.jaapos.2019.10.004

Abstract

Synergistic divergence is a congenital disorder with abnormal ocular motility. Various management options have been described but with few satisfactory outcomes. We describe 3 cases of synergistic divergence a technique of medial transposition of split lateral rectus augmented with equatorial fixation sutures in 3 children. Postoperatively the synergistic divergence disappeared, and eyes were aligned in the straight-ahead gaze with improved adduction and convergence in all 3 cases.

Publication types

Case Reports
Video-Audio Media

MeSH terms

Child, Preschool
Duane Retraction Syndrome / physiopathology
Duane Retraction Syndrome / surgery*
Eye Movements / physiology*
Humans
Male
Oculomotor Muscles / physiopathology
Oculomotor Muscles / surgery*
Postoperative Period
Suture Techniques / instrumentation*
Sutures*