AIMS: To develop appropriate methods of eye muscle surgery in highly myopic @entity1 with @entity5971 and hypotropia, with respect to the pathological findings in high resolution magnetic resonance imaging (MRI). METHODS: 35 @entity1 with unilateral or bilateral high @entity1714 and strabismus--that is, axial length of the globe averaged 29.4 mm. Multiple coronal, transverse, and parasagittal MRI image planes were obtained using a Siemens Magnetom 1.5 tesla MRI scanner. In 15 @entity1 with a pathological plane of recti extraocular muscles found by MRI and confirmed intraoperatively, a new technique of eye muscle surgery was performed to re-establish the physiological muscle plane. This was checked postoperatively in addition to the measurement of alignment and motility by MRI. RESULTS: The new MRI finding of a dislocation of the lateral rectus (LR) into the temporocaudal quadrant by 3.4 mm requires new surgical techniques. Only fixing the LR in the physiological meridian at the equator with a @entity1346 loop ('guide pulley') or a non-absorbable suture is a causal therapy. This yields alignment and improves abduction and elevation. CONCLUSIONS: If the described misalignment of the LR is detected by MRI, a common high dosage recess-resect procedure for @entity5971 may even aggravate the deviation. The most important aim of eye muscle surgery is to normalise the pathological path of the LR. The restoration of the physiological function of the dislocated LR is remarkable.

New approach in strabismus surgery in high XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1346 :: ('MESH:D012828', 'Chemical') :: ['silicone'] @entity5971 :: ('MESH:D004948', 'Disease') :: ['esotropia'] @entity1714 :: ('MESH:D009216', 'Disease') :: ['myopia']
@entity1714 :: (MESH:D009216,Disease) :: ['myopia']
