Pulled-in-two SyndromeCaracterísticas y tratamiento

  1. Pablo J. Mazagatos 1
  2. Pilar Merino 1
  3. Guillermo Garcés 1
  4. Miguel Ángel Ordóñez 1
  5. Pilar Gómez de Liaño 1
  1. 1 Hospital General Universitario Gregorio Marañón
    info

    Hospital General Universitario Gregorio Marañón

    Madrid, España

    ROR https://ror.org/0111es613

Revue:
Acta estrabológica: publicación oficial de la Sociedad Española de Estrabología, Pleóptica, Ortóptica, Visión Binocular, Reeducación y Rehabilitación Visual

ISSN: 0210-4695,  1989-7278

Année de publication: 2017

Volumen: 46

Número: 2

Pages: 105-112

Type: Article

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D'autres publications dans: Acta estrabológica: publicación oficial de la Sociedad Española de Estrabología, Pleóptica, Ortóptica, Visión Binocular, Reeducación y Rehabilitación Visual

Résumé

Introduction: Pulled-in-two syndrome (PITS) is a serious complication of strabismus surgery that occurs when an extraocular muscle ruptures under tension. The purpose of this review is to carac- terize this syndrome, identify its risk factors, to analize its outcomes and to report our three cases. Method: Bibliographic research. Identify risk factors, management, and outcomes. Results: The most commonly involved muscles are the medial rectus and the inferior rectus. The most commonly identified risk factors are previous ocular surgery and cranial nerve palsy. Advanced age is also a significant risk factor. Conclusions: Strabismus surgeons might encounter one case of PITS appro- ximately every 10 years. In most cases the muscle can be found and reattached to the globe. If the muscle is not found, a transposition surgery could be performed. Conservative management and observation are also valid options.

Références bibliographiques

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