Dr. DEEPTI P.

, Dr. LAKSHMI K.S., Dr. KRISHNA PRASAD R.

Abstract

Aim- Mini-plication is a new rectus muscle tightening procedure introduced for the correction of small-angle strabismus. The aim of this video is to highlight the procedure and its outcomes in management of small angle residual strabismus. Materials and methods- In this procedure, 6-0 polyglactin 910 suture was secured to the central 3-4 mm of the muscle belly 5mm posterior to the insertion and was then passed through the sclera just anterior to the muscle insertion to plicate the central portion of the muscle. In our study 5 patients with residual exotropia underwent mini-plication. Results- Deviation reduced from 10-16Δ (mean,12Δ) to 2-8Δ (mean, 5.8Δ).The average correction by miniplication was 9(Δ). No complications noted. Conclusion-Mini-plication which can be performed under controlled anesthesia is a safe and simple alternative to prismatic glasses in residual small deviations and was especially useful for adult with residual strabismus who don’t want to use spectacles.