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Complejo de esotropía-hipertropía en el estrabismo fijo miope manejado con una miopsia de bucle no convencional
Aparajita Shinde1, Vivekanand Uttamrao Warkad2
1Pediatric Ophthalmology, Dr Panjabrao Deshmukh Memorial Medical College Amravati, Amravati, Maharashtra, India.
BMJ case reports
|September 3, 2025
Resumen
El estrabismo fijo miope (MSF) es una afección ocular rara relacionada con la miopía alta. La miopsia de la banda de silicona infratemporal realineó con éxito los ojos y mejoró el movimiento en un caso único.
Área de la Ciencia:
- Oftalmología
- Estrabismología
- Imágenes médicas
Sus antecedentes:
- El estrabismo fijo miope (MSF) es un estrabismo adquirido y progresivo.
- Con frecuencia se asocia con una miopía alta y se presenta como esotropía-hipotropía o exotropía-hipotropía.
- Esta condición puede afectar significativamente la función visual y la calidad de vida.
Objetivo del estudio:
- Para reportar un raro caso de estrabismo fijo miope en un hombre adulto de mediana edad.
- Para ilustrar los hallazgos de diagnóstico mediante imágenes de resonancia magnética (IRM).
- Para evaluar la eficacia de la miopexia de la banda de silicona inferotemporal en el tratamiento de esta afección.
Principales métodos:
- Presentación del caso de un hombre de mediana edad con alta miopía y esotropía-hipertropía.
- Utilicé la resonancia magnética para identificar una protuberancia de globo posterior atípica en el cuadrante inferotemporal.
- Realizó una miopsia de banda de silicona inferotemporal para corregir el estrabismo.
Principales resultados:
- La resonancia magnética reveló desplazamiento de las vías del músculo recto lateral e inferior debido a la protuberancia del globo.
- La miopsia de la banda de silicona infratemporal dio como resultado una buena alineación ocular.
- La motilidad extraocular mejoró después de la intervención quirúrgica.
Conclusiones:
- Este caso destaca una presentación atípica del estrabismo fijo miope.
- La miopexia por banda de silicona infratemporal es una opción quirúrgica efectiva para esta rara afección.
- La resonancia magnética es valiosa para comprender los cambios anatómicos en MSF.
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