TY - JOUR AU - Phamonvaechavan, Pittaya AU - Saksiriwutto, Piangporn PY - 2019/07/24 Y2 - 2024/03/29 TI - Surgical Treatment of Myopic Strabismus Fixus by Loop Myopexy Augmented with Scleral Fixation: a Case Report JF - Siriraj Medical Journal JA - Siriraj Med J VL - 71 IS - 4 SE - Case Report DO - UR - https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/205232 SP - 318-321 AB - <p><strong>Objective:</strong> To present the clinical findings, surgical procedure and long-term outcome of a Thai patient with&nbsp;myopic strabismus fixus.<br><strong>Case presentation:</strong> The patient presented with recurrent progressive esotropia and hypotropia. Two strabismus&nbsp;surgeries were performed 20 years ago. Magnetic resonance imaging (MRI) findings indicated the etiology which&nbsp;was secondary to inferiorly deviated lateral rectus (LR) muscle and medially deviated superior rectus (SR) muscle.&nbsp;The patient had undergone loop myopexy of lateral rectus and superior rectus muscles augmented with scleral&nbsp;fixation and satisfactory result was achieved up to six years after the operation.&nbsp;<br><strong>Conclusion:</strong> The patient with myopic strabismus fixus should be evaluated by MRI to confirm the etiology of this&nbsp;disorder. Marked esotropia and hypotropia can be safely aligned by simple loop myopexy augmented with scleral&nbsp;fixation.</p> ER -