DR. AMAR PUJARI

Abstract

Purpose: To describe the clinical entity called rectus muscle pseudo-adherence syndrome following buckling surgery.

Methods: A retrospective data review of 14 patients was undertaken. The demographic details, surgical details, and intraoperative features were noted.

Results: The mean age of 14 patients was 21.71+/-5.23 years. In absence of buckle, the thinned-out rectus muscle was adherent to underlying sclera with much denser adhesions along margins. Similarly, in presence of buckle, the rectus muscle was again densely adherent but here to the outer buckle. In both the scenarios, due to the absence of protective muscle coverings, the rectus muscles were naturally adsorbed onto immediate surface by the healing tenon’s.

Conclusions: While correcting ocular deviations following buckling surgery, a false sense of absent/slipped/thinned-out rectus muscle is possible. These findings are due to active healing of sclera or the buckle with the muscle in a single layer of tenon’s.