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Mini-plication to treat small-angle strabismus: A minimally invasive procedure
Rebecca S Leenheer1, Kenneth W Wright
1Loma Linda University, Ophthalmology, Loma Linda, California, USA. rebecca.leenheer@gmail.com
Summary
Mini-plication is a safe and effective rectus muscle tightening procedure for correcting small-angle strabismus, particularly beneficial for adult patients experiencing diplopia.
Area of Science:
- Ophthalmology
- Surgical Procedures
Background:
- Mini-plication is a novel rectus muscle tightening technique for small-angle strabismus.
- This procedure can be performed under topical anesthesia, offering a less invasive approach.
Purpose of the Study:
- To evaluate the outcomes of the mini-plication procedure for strabismus correction.
Main Methods:
- Retrospective review of medical records for patients who underwent mini-plication.
- Suture placement on the central muscle belly, differing from standard full-width plication.
- Analysis of two groups: mini-plication alone and mini-plication after antagonist muscle-weakening surgery.
Main Results:
- Nine patients (ages 5-78) were analyzed; all adults received topical anesthesia without complications.
- Mini-plication reduced vertical and horizontal deviations by an average of 6.7Δ.
- Postoperative deviation averaged <5Δ, with significant improvement in diplopia for adult patients.
Conclusions:
- Mini-plication effectively corrects small strabismic deviations.
- The procedure is particularly advantageous for adult strabismus patients suffering from diplopia.
- Its performance under topical anesthesia enhances patient comfort and accessibility.
