PubMed · 6400609
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P Vijayalakshmi. A study on adjustable rectus muscle surgery.. https://pubmed.ncbi.nlm.nih.gov/6400609/
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The heavy eye phenomenon presents as progressive esotropia and hypotropia in high myopia. It appears to be due to compression of the lateral rectus muscle against the lateral orbital wall by the enlarged myopic globe. We present the first published magnetic resonance imaging (MRI) scans of this condition and a summary of the literature.
Starting with the ideas of Donders, a method has been developed of non-surgical treatment of the so-called accommodative esotropia (glasses, bifocals, prisms, miotics), surgery being only considered if insufficient results are obtained: these results are analyzed. The method of Gobin is in opposition with this method by not admitting the role of hypermetropia and by doing systematically a "four muscles surgery" (on two medial recti and on two oblique muscles).