Dr.Sowmya R
Thirty four year old presented with h/o squinting 1 year post sclera buckle for RD. BCVA(OD)6/36,N36 (OS)6/9,N6.Hirschberg test showed RET with hypotropia (50 PdET mod krimsky).ocular movements(OD) limited abduction and elevation of -2. Fundus examination(OD)myopic macular degeneration with Buckle effect seen.Axial length(OD)33.02mm, (OS) 30.75mm.Removal of buckle was not an option for risk of redetachment. Diagnosis of (OD)myopic strabismus fixus made.Possibility of buckle induced strabismus cannot be ruled out. Fornicial incision made in S/T quadrant.SR and LR muscles hooked,isolated and silicone band(no 240)placed around the muscle bellies and scleral pocket made in S/T quadrant(14 mm from limbus).Band was tied joining the SR and LR muscles &correcting the herniation of globe. Care taken not to disturb buckle.Hang back recession of MR done Post operatively patient was orthophoric.Loop myopexy with sclera buckle has never described.It’s a viable surgical option as proved in our case