Abstract

To evaluate safety profile and surgical outcomes of loop myopexy with concurrent intra-ocular lens implantation in cases of myopic strabismus fixus (MSF).
Retrospective review of patients who underwent loop myopexy with concurrent small incision cataract surgery with intra-ocular lens implantation between Jan 2017 and July 2021 for MSF at a tertiary eye care centre was undertaken. The main outcome measures were improvement in alignment postoperatively, improvement in extra-ocular motility postoperatively, intraoperative and postoperative complications and post-operative visual acuity.
12 eyes of 7 patients underwent loop myopexy at a mean age of 46.86 years (range 32-65 years). All eyes underwent additional medial rectus (MR) recession with lateral rectus (LR) plication. At the last follow-up, mean esotropia improved to 16 PD from 80 PD, P = 0.016. Mean hypotropia at presentation was 10 PD, which improved to 0 PD, P = 0.063. Mean BCVA improved from 1.08 LogMar to 0.3 LogMar units.