Double covering with amniotic membrane in restrictive strabismus.

Area of Science:

• Ophthalmology
• Surgical Techniques
• Ocular Surface Reconstruction

Background:

• Consecutive exotropia surgery can lead to severe restrictive strabismus.
• Managing such complications presents significant clinical challenges.

Observation:

• A case of severe restrictive strabismus following corrective surgery for exotropia was observed.
• The condition necessitated an innovative management strategy.

Findings:

• A surgical technique involving amniotic membrane (AM) wrapping of the affected muscle was employed.
• A second AM graft was utilized for ocular surface reconstruction, addressing the restrictive strabismus.

Implications:

• This case highlights the potential efficacy of amniotic membrane transplantation in managing complex strabismus complications.
• The described technique offers a promising approach for restoring ocular motility and surface integrity.