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Ophthalmic Images
December 12, 2019

Conjunctival and Episcleral Blood Flow Restoration After Strabismus Surgery on Swept-Source Optical Coherence Tomography Angiography

Author Affiliations
  • 1Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, Japan
JAMA Ophthalmol. 2019;137(12):e190043. doi:10.1001/jamaophthalmol.2019.0043

A woman in her 60s presented with hyperexotropia after a recession of bilateral medial rectus muscles for infantile esotropia was performed at age 11 years. She was also experiencing recession of a treatment-naive lateral rectus muscle and advancement of a recessed medial rectus muscle, with a 1 tendon–width downward transposition of the left eye. Swept-source optical coherence tomography angiography (OCTA; PLEX Elite 9000 [Carl Zeiss Meditec]) with a 10-diopter optical adaptor lens was performed on the recessed lateral rectus muscle. The OCTA images suggested that conjunctival and episcleral blood flow decreased immediately after surgery (Figure, A) but was restored within 2 weeks (Figure, B).

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