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Rectus muscle pseudo-adherence syndrome.

Amar Pujari¹, Baiju Virani, Nidhi Chauhan

¹Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

Indian Journal of Ophthalmology

|May 19, 2023

Summary

This summary is machine-generated.

Rectus muscle pseudo-adherence syndrome can occur after buckling surgery. This condition mimics muscle issues but is caused by the natural healing process, not muscle damage.

Keywords:

Buckling surgery pseudo-adherence rectus muscle

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Area of Science:

Ophthalmology
Surgical Innovation
Strabismus Surgery

Background:

Buckling surgery is a common procedure for strabismus.
Post-operative complications can sometimes mimic other conditions.
Understanding these complications is crucial for accurate diagnosis and management.

Purpose of the Study:

To describe a newly identified clinical entity: rectus muscle pseudo-adherence syndrome.
To analyze the characteristics of patients who developed this syndrome after buckling surgery.

Main Methods:

Retrospective review of 14 strabismus patients between 2017 and 2021.
Analysis of patient demographics, surgical details, and intraoperative findings.
Detailed examination of rectus muscle adherence to sclera or buckle.

Main Results:

The average age of patients was 21.71 years.
Pre-operative exotropia averaged 42.35 prism diopters (PD), with a mean post-operative residual of 8.25 PD.
Intraoperative findings showed rectus muscles adhering to the sclera or buckle due to active healing, creating a false impression of muscle absence or thinning.

Conclusions:

Rectus muscle pseudo-adherence syndrome is a clinical entity following buckling surgery.
The syndrome results from the muscle actively healing to surrounding structures, not from muscle slippage or thinning.
Accurate identification is key to avoid misdiagnosis of muscle-related complications.