Journal of Clinical and Experimental Ophthalmology
Open Access
ISSN: 2155-9570
ISSN: 2155-9570
Said Abul Kader Jamal Eddin
Ebsar Specialized Eye Center, Saudi Arabia
Keynote: Clin Exp Ophthalmol
Aim: To evaluate and consider alternative surgical technique for huge horizontal strabismus of more than fifty-five Prism
Diopter (55>PDs) and to improve that the muscles is spontaneous reattached without suture after surgery.
Methods & Material: A retrospective case series on 40 cases at different hospitals, non-suture myectomy surgery was done in
both eyes under local anesthesia for adult. We documented 40 cases, (36) primary strabismus patients (Exotropia-Esotropia)
and only (4) secondary cases were re-operated. All patients were evaluated after surgery clinically and with CT images and
examined, follow ups every six months for up to three years.
Results: Out of 40 cases, 38 (95%) were successful (less than 10 Prism Diopters) with good ocular motility within one month,
under correction only appeared in 2 (5%) of the cases. No persistent diplopia was noted in the central 30°field. One case was
re-operated on, no overcorrection and no major complications were recorded during and after the surgeries. The results are
supported by documents and images.
Conclusion: This technique is remarkable in our ophthalmic field because it did not interrupt the natural integrity of the
normal ocular motility, it is simpler, with a high success rate, requires a shorter time, under local anesthesia for adult, without
suturing, much more efficient, with lesser complications, and shorter learning curve, the horizontal muscles spontaneous
reattach and adjust after surgery.
Said Abdelkader Jamaleddin is a Syrian Ophthalmologist since 1985 currently working in Saudi Arabia; He finished his MD degree from Cairo medical university then a Syrian specialization degree and obtained the Syrian Board in Ophthalmology, also 1st part of FRCS. His clinical experience goes back to nearly 34 years which started in Syria by introducing many technologies, some of them, as the first ophthalmologist who worked on PHACO in Syria (1992) and fluorescein in angiography and laser and IOL in my home city Homs 1992. He worked as the Head of the Ophthalmology department in Homs County Hospital (Alwatany) and worked in many private and state-owned hospitals in Homs, Syria. He also made his fellowship and practice in Kentucky-USA 91/93. He developed a new surgical technique for the strabismus. He is an active member of the Syrian and Saudi Ophthalmology Society published many types of research and papers, the first in1993 was titled: “The first 70 cases of PHACO in Syria and its complications”. He was invited as a speaker in many international conferences some of them in Syria, Egypt, Morocco, Lebanon and Libya and many in KSA, Kuala lumper and Amsterdam and last one in MEACO-Jordan 2019.