Loop Myopexy Surgery for Strabismus Associated with High Myopia

Strabismus associated with high myopia is a rare abnormality of ocular motility, leading to the impairment of abduction and supraduction. Loop myopexy of the superior rectus (SR) and lateral rectus (LR) muscles is now the most preferred surgery for restoring the dislocated eye globe back into the mu...

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Main Authors: Yun Su, Qin Shen, Xianqun Fan
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2016/8657036
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author Yun Su
Qin Shen
Xianqun Fan
author_facet Yun Su
Qin Shen
Xianqun Fan
author_sort Yun Su
collection DOAJ
description Strabismus associated with high myopia is a rare abnormality of ocular motility, leading to the impairment of abduction and supraduction. Loop myopexy of the superior rectus (SR) and lateral rectus (LR) muscles is now the most preferred surgery for restoring the dislocated eye globe back into the muscle cone. Various procedural modifications have been made based on this concept, and satisfactory outcomes have been reached in most cases. In this paper, we review various surgical modifications published in the literature that are based on the loop myopexy surgery in patients with high myopic strabismus and summarize the applicable scope of different surgical procedures for patients with different degrees of strabismus. Three major surgical procedures are identified and different modifications have been applied based on their concept. Most of these modifications have been proven to be safe and effective and result in good ocular alignments. The selection of such modifications is of great importance in different patients. Careful evaluation before surgery should be made not only to make the correct diagnosis but also to choose an appropriate surgical procedure and offer individualized modifications in the surgery.
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spelling doaj-art-a0fc05ab1cb945b5a68ad236c0c404cb2025-08-20T02:20:30ZengWileyJournal of Ophthalmology2090-004X2090-00582016-01-01201610.1155/2016/86570368657036Loop Myopexy Surgery for Strabismus Associated with High MyopiaYun Su0Qin Shen1Xianqun Fan2Department of Ophthalmology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai 200011, ChinaDepartment of Ophthalmology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai 200011, ChinaDepartment of Ophthalmology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai 200011, ChinaStrabismus associated with high myopia is a rare abnormality of ocular motility, leading to the impairment of abduction and supraduction. Loop myopexy of the superior rectus (SR) and lateral rectus (LR) muscles is now the most preferred surgery for restoring the dislocated eye globe back into the muscle cone. Various procedural modifications have been made based on this concept, and satisfactory outcomes have been reached in most cases. In this paper, we review various surgical modifications published in the literature that are based on the loop myopexy surgery in patients with high myopic strabismus and summarize the applicable scope of different surgical procedures for patients with different degrees of strabismus. Three major surgical procedures are identified and different modifications have been applied based on their concept. Most of these modifications have been proven to be safe and effective and result in good ocular alignments. The selection of such modifications is of great importance in different patients. Careful evaluation before surgery should be made not only to make the correct diagnosis but also to choose an appropriate surgical procedure and offer individualized modifications in the surgery.http://dx.doi.org/10.1155/2016/8657036
spellingShingle Yun Su
Qin Shen
Xianqun Fan
Loop Myopexy Surgery for Strabismus Associated with High Myopia
Journal of Ophthalmology
title Loop Myopexy Surgery for Strabismus Associated with High Myopia
title_full Loop Myopexy Surgery for Strabismus Associated with High Myopia
title_fullStr Loop Myopexy Surgery for Strabismus Associated with High Myopia
title_full_unstemmed Loop Myopexy Surgery for Strabismus Associated with High Myopia
title_short Loop Myopexy Surgery for Strabismus Associated with High Myopia
title_sort loop myopexy surgery for strabismus associated with high myopia
url http://dx.doi.org/10.1155/2016/8657036
work_keys_str_mv AT yunsu loopmyopexysurgeryforstrabismusassociatedwithhighmyopia
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AT xianqunfan loopmyopexysurgeryforstrabismusassociatedwithhighmyopia