PREOPERATIVE DIAGNOSIS: Exotropia.
POSTOPERATIVE DIAGNOSIS: Exotropia.
PROCEDURE: Bilateral lateral rectus recession of 7.5
mm.
ANESTHESIA: General.
COMPLICATIONS: None.
PROCEDURE IN DETAIL: The patient was wheeled
into the operating room suite, placed on the operating room table, where a
routine preop cardiac monitoring was initiated.
IV was inserted into place. The
patient was induced with face mask anesthesia, intubated, and maintained on
appropriate mixture of gases for general anesthesia. Both eyes were prepped and draped in a
sterile fashion. Lid speculum was placed
into the left eye. Double-armed 6-0 silk
was passed through the 6 and 12 o’clock limbus and clamped maintaining the eye
in the abducted position. Conjunctival
incision was performed over the muscle and dissected posteriorly. Lateral rectus was isolated on a muscle hook
and a double-armed 6-0 Vicryl was passed through the muscle 1 mm from the
insertion and locked at the superior and inferior poles. Muscle was disinserted from the globe with
blunt Westcott. Hemostasis was
maintained with a disposable cautery.
With 7.5 mm on the calipers as measured back from original insertion
site, two needles were passed through sclera at this point. Muscle was pulled up to the new position and
tied. Needles were cut. Conjunctiva was passed back in place and
sutured with 6-0 plain. Bilateral
sutures removed, lid speculum was removed.
The eye was cleaned and TobraDex was also instilled to the eye. Then turning to the right eye, the exact same
procedure was performed. There is a
lateral rectus recession of 7.5 mm. The
patient was weaned from anesthesia and returned to recovery room in good
condition.
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