DR. RAJ VADOR

, Dr. SHREYA SHAH, Dr.MEHUL SHAH, DR. ARUN KUMAR

Abstract

LONGITUDINAL TEARS IN THE MUSCLE MAY HAVE VARIABLE ORIENTATIONS, LONGITUDINAL SEPARATION OF THE ORBITAL LAYER FROM THE GLOBAL LAYER OR DISINSERTION OF THE MUSCLE FROM THE SCLERA. DUE TO TRAUMATIC ANATOMIC DISORIENTATIONS THESE TEARS ARE DIFFICULT TO MANAGE

THIS VIDEO DEMONSTRATES FLAP TEAR REPAIR IN AN EFFECTIVE WAY TO RESTORE THE MOVEMENTS OF THE EYE.

INTRAOPERATIVE APPEARANCE IS A NARROWED ATTACHMENT OR A THINNED OUT DISRUPTED CAPSULE OR FLAP ENCASED IN SURROUNDING ORBITAL FAT, FORCED DUCTION TEST WILL SHOW RESTRICTED MOVEMENT TOWARDS THE FIELD OF ACTION, SURGICALLY THE FLAP CAN BE SUTURED BACK TO THE REMAINING MUSCLE OR PLICATE AND RESECT THE ABNORMAL ZONE OF MUSCLE AND OPERATE ON THE OTHER MUSCLES.

CONCLUSION: EFFECTIVELY MANAGED FLAP TEARS CAN LEAD TO SATISFACTORY RESULTS, ALTHOUGH NOT EASY TO EXPERTISE IT IS A COST EFFECTIVE METHOD TO PROVIDE THE BEST RESULTS.