Conjunctival mini-flap operation for restrictive strabismus after periocular surgery

Kyou Ho Lee, Soolienah Rhiu, Sang Chul Yoon, Kyoung Yul Seo

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5 Citations (Scopus)


Purpose To investigate the effect of conjunctival mini-flap operation to treat restrictive strabismus in patients with diplopia caused by conjunctival adhesion and hyperplasia after periocular surgery. Design Case series study. Methods Eleven patients with diplopia and restrictive strabismus attributable to conjunctival dysplasia after periocular surgery underwent a conjunctival mini-flap surgery without a muscle operation and were followed-up at 1, 3, and 6 months after surgery. The Hess screen test, binocular single vision field with Goldmann perimetry, and extraocular muscle movement were analyzed pre- and postoperatively. Patient satisfaction with the cosmetic results of conjunctival mini-flap operation was also investigated. Results The mean preoperative alignment deviation in primary position was 10.4 ± 5.6 prism diopters (PD). Diplopia in the primary position was resolved in 95% of the patients. The mean postoperative deviation was 1.36 ± 2.34 PD at the primary position. No significant complications or recurrences were noted after mean 9.5 ± 4.2 months follow-up. Conclusion Conjunctival mini-flap operation is an effective and safe surgical technique for treating patients with diplopia and restrictive strabismus following periocular surgery.

Original languageEnglish
Pages (from-to)1244-1251.e2
JournalAmerican Journal of Ophthalmology
Issue number6
Publication statusPublished - 2013 Dec

Bibliographical note

Funding Information:
All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported. This study was supported by a grant of the Korea Healthcare Technology R&D Project, Ministry of Health & Welfare , Republic of Korea (Grant No.: A103001 ). The funding organization had no role in the design or conduct of this research. Contributions of authors: design of the study (K.H.L., S.R., S.C.Y.); conduct of the study (K.H.L., S.C.Y.); data collection (K.H.L., K.Y.S.); writing the article (K.H.L., K.Y.S.); critical revision of the article (K.H.L., S.R., S.C.Y.); final approval of the article (K.H.L., S.R., S.C.Y., K.Y.S.). K.H.L. and S.R. contributed equally to this work.

All Science Journal Classification (ASJC) codes

  • Ophthalmology


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