Surgical treatment for binocular heavy eye syndrome after vitrectomy in a patient with high myopia
A patient with heavy eye syndrome was admitted to the hospital.He had high myopia in both eyes.One year after vitrectomy for right eye,there was a fixed internal deviation and conventional strabismus correction surgery was performed.After the right eye strabismus surgery,he developed a fixed inward and downward strabismus in both eyes,and underwent another conventional strabismus correction surgery,which was followed by recurrence of inward and downward strabismus in both eyes.He had previously been diagnosed with non-concomitant esotropia;this inaccurate diagnosis led to unreasonable surgical design,and recurrence of inward and downward strabismus after surgery.He was eventually diagnosed with heavy eye syndrome in both eyes and underwent a modified Yokoyama surgery.He showed no recurrence of binocular in-ward and downward strabismus after the surgery.The diagnostic accuracy of heavy eye syndrome must be improved,to avoid use of inappropriate treatment methods as a result of misdiagnosis as simple esotropia,as well as subsequent disease recur-rence requiring multiple surgeries.Early-stage accurate diagnosis and treatment methods are necessary to benefit patients and their families.
Heavy eye syndromeEsotropiaOphthalmologic surgical procedures
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