Surgical Technique for Pulled in Two Syndrome: Three Cases With Chronic Progressive External Ophthalmoplegia

“Pulled in two syndrome” (PITS) is a rare complication of strabismus surgery characterized by rupture of the extraocular muscle under minimal tension and not through inappropriate excess force.1–4 This rare occurrence is described predominantly in cases in which there is preexisting extraocula r muscle pathology, although the muscle can appear macroscopically normal.3,5 Reported risk factors include previous strabismus surgery, extraocular muscle palsy, thyroid eye disease, or metastatic infiltration.6,7 Surgical outcome depends on retrieval of the dehisced muscle, which can be either sutured

Source: Journal of Pediatric Ophthalmology and Strabismus - November 21, 2017 Category: Opthalmology Authors: Alexander Matthew Jones, MSc, MA, MB BChir Source Type: research