Modified Loop Myopexy (Yokoyama's Procedure) for High Myopic Strabismus Fixus

Patricia Ann L Lee; Shinjiro Kono; Hirohiko Kakizaki; Yasuhiro Takahashi

doi:10.1159/000510818

Modified Loop Myopexy (Yokoyama's Procedure) for High Myopic Strabismus Fixus

Case Rep Ophthalmol. 2021 Jan 14;12(1):68-72. doi: 10.1159/000510818. eCollection 2021 Jan-Apr.

Authors

Patricia Ann L Lee¹, Shinjiro Kono¹, Hirohiko Kakizaki¹, Yasuhiro Takahashi¹

Affiliation

¹ Department of Oculoplastic, Orbital and Lacrimal Surgery, Aichi Medical University Hospital, Nagakute, Japan.

Abstract

In the classic loop myopexy (Yokoyama) procedure, muscle belly union in the deep orbit is technically difficult, particularly in patients with deep-set eyes and narrow palpebral fissures. Our modified procedure includes a lateral canthotomy and cantholysis and upper conjunctival fornix incisions to facilitate this step.

Keywords: High myopic strabismus fixus; Lateral canthotomy and cantholysis; Loop myopexy; Upper conjunctival fornix incision.

Publication types

Case Reports