Rectus muscle pseudo-adherence syndrome Article Swipe
Amar Pujari
,
Baiju Virani
,
Nidhi Chauhan
,
Karthikeyan Mahalingam
,
Rajeswari Thangavel
,
Rohit Saxena
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.4103/ijo.ijo_2075_22
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.4103/ijo.ijo_2075_22
Purpose: To describe a clinical entity called “rectus muscle pseudo-adherence syndrome” following buckling surgery. Methods: A retrospective data review was undertaken to analyze the clinical profile of strabismus patients who had developed it following buckling surgery. Between 2017 and 2021, a total of 14 patients were identified. The demography, surgical details, and intraoperative challenges were reviewed. Results: The average age of the 14 patients was 21.71 ± 5.23 years. The mean pre-op deviation was 42.35 ± 14.35 prism diopters (PD) of exotropia, and the mean post-op deviation was 8.25 ± 4.88 PD of residual exotropia at 26.16 ± 19.53 months follow-up. Intraoperatively, in the absence of a buckle, the thinned-out rectus adhered to the underlying sclera with much denser adhesions along its margins. When there was a buckle, the rectus muscle adhered to the outer surface of the buckle again, but less densely, with marginal union into the surrounding tenons. In both scenarios, due to the absence of protective muscle coverings, the rectus muscles were naturally adsorbed onto the immediately available surface in the presence of active healing by the tenons. Conclusion: While correcting ocular deviations following buckling surgery, a false sense of an absent, slipped, or thinned-out rectus muscle is very much possible. This is due to active healing of the muscle with the surrounding sclera or the buckle in a single layer of tenons. This is the rectus muscle pseudo-adherence syndrome, where the culprit is the healing process and not the muscle.
Related Topics
Concepts
Medicine
Rectus muscle
Buckle
Sclera
Scleral buckle
Strabismus
Surgery
Medial rectus muscle
Scleral buckling
Structural engineering
Engineering
Vitrectomy
Visual acuity
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.4103/ijo.ijo_2075_22
- OA Status
- diamond
- References
- 15
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4376875180
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4376875180Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.4103/ijo.ijo_2075_22Digital Object Identifier
- Title
-
Rectus muscle pseudo-adherence syndromeWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-05-01Full publication date if available
- Authors
-
Amar Pujari, Baiju Virani, Nidhi Chauhan, Karthikeyan Mahalingam, Rajeswari Thangavel, Rohit SaxenaList of authors in order
- Landing page
-
https://doi.org/10.4103/ijo.ijo_2075_22Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.4103/ijo.ijo_2075_22Direct OA link when available
- Concepts
-
Medicine, Rectus muscle, Buckle, Sclera, Scleral buckle, Strabismus, Surgery, Medial rectus muscle, Scleral buckling, Structural engineering, Engineering, Vitrectomy, Visual acuityTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
0Total citation count in OpenAlex
- References (count)
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15Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.available | 170 |
| abstract_inverted_index.developed | 31 |
| abstract_inverted_index.deviation | 72, 86 |
| abstract_inverted_index.exotropia | 94 |
| abstract_inverted_index.following | 11, 33, 186 |
| abstract_inverted_index.naturally | 165 |
| abstract_inverted_index.possible. | 203 |
| abstract_inverted_index.reviewed. | 55 |
| abstract_inverted_index.syndrome, | 232 |
| abstract_inverted_index.“rectus | 7 |
| abstract_inverted_index.challenges | 53 |
| abstract_inverted_index.correcting | 183 |
| abstract_inverted_index.coverings, | 160 |
| abstract_inverted_index.deviations | 185 |
| abstract_inverted_index.exotropia, | 81 |
| abstract_inverted_index.follow-up. | 100 |
| abstract_inverted_index.protective | 158 |
| abstract_inverted_index.scenarios, | 152 |
| abstract_inverted_index.strabismus | 27 |
| abstract_inverted_index.underlying | 114 |
| abstract_inverted_index.undertaken | 20 |
| abstract_inverted_index.Conclusion: | 181 |
| abstract_inverted_index.demography, | 48 |
| abstract_inverted_index.identified. | 46 |
| abstract_inverted_index.immediately | 169 |
| abstract_inverted_index.surrounding | 148, 215 |
| abstract_inverted_index.syndrome” | 10 |
| abstract_inverted_index.thinned-out | 109, 197 |
| abstract_inverted_index.retrospective | 16 |
| abstract_inverted_index.intraoperative | 52 |
| abstract_inverted_index.pseudo-adherence | 9, 231 |
| abstract_inverted_index.Intraoperatively, | 101 |
| cited_by_percentile_year | |
| corresponding_author_ids | https://openalex.org/A5047903723 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 6 |
| corresponding_institution_ids | https://openalex.org/I63739035 |
| citation_normalized_percentile.value | 0.2050833 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |