Silicone band loop myopexy for treatment of myopic strabismus fixus

A 20-year-old male presented with esotropia in both the eyes with limitation of abduction and elevation. He also had low vision in both the eyes since childhood. Radiological imaging demonstrated a nasally deviated superior rectus and inferiorly displaced lateral rectus. He was diagnosed to be a case of bilateral myopic strabismus fixus. Silicone band-assisted myopexy of superior and lateral rectus was done along with passing the band through the scleral tunnel. The patient had satisfactory alignment postoperatively and did not require any intervention over 1-year follow-up. Scleral fixation has an advantage as it prevents migration of band, and passing the scleral band through the scleral tunnel lowers the risk of scleral perforation as it does not require the need for passing suture needle through the sclera once the tunnel is made.