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J Pediatr Ophthalmol Strabismus. 1992 Jul-Aug;29(4):216-8.

Eye muscle prosthesis.

Author information

1
Smith-Kettlewell Eye Research Institute, San Francisco, Calif. 94115.

Abstract

We inserted a silicone rubber elastic band along the course of a paralyzed lateral rectus and of a paralyzed superior oblique to restore alignment and to provide a spring against which the antagonist could pull. The lateral rectus band has been in place for 7 years. It provides alignment and a field of single binocular vision of 20 degrees. The superior oblique band has been in place for 17 months. It provides alignment and single vision over 30 degrees from the primary position except for a restriction in upgaze-adduction to 25 degrees (Brown syndrome) and in downgaze-adduction to 20 degrees. Such engineered elastic bands are a useful addition to current surgical techniques for management of cases of paralysis and restriction.

PMID:
1512661
[Indexed for MEDLINE]

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