A primate model of anterior segment ischemia after strabismus surgery. The role of the conjunctival circulation

• Published in: Ophthalmology (Rochester, Minn.) Vol. 97; no. 4; p. 456
• Main Authors: Fishman, P H, Repka, M X, Green, W R, D'Anna, S A, Guyton, D L
• Format: Journal Article
• Language: English
• Published: United States 01.04.1990
• Subjects: Animals; Anterior Eye Segment - blood supply; Anterior Eye Segment - pathology; Ciliary Body - pathology; Ciliary Body - surgery; Conjunctiva - blood supply; Conjunctiva - surgery; Disease Models, Animal; Fluorescein Angiography; Iris - pathology; Ischemia - etiology; Ischemia - prevention & control; Macaca fascicularis; Methods; Postoperative Complications - prevention & control; Sclera - surgery; Strabismus - surgery; Tendons - surgery
• DOI: 10.1016/S0161-6420(90)32561-7
• ISSN: 0161-6420

Fornix conjunctival incisions in strabismus surgery may provide partial protection against anterior segment ischemia by preserving the perilimbal conjunctival-Tenon's circulation, which is disrupted with limbal conjunctival incisions. Six adult cynomolgus monkeys underwent tenotomies of three or four rectus muscles by making limbal conjunctival incisions in one eye and fornix incisions in the other. Iris fluorescein angiography and slit-lamp biomicroscopy were used to monitor changes. The eyes that had limbal incisions exhibited more severe anterior segment ischemic changes than the eyes that had fornix incisions in every instance of four rectus muscle surgery.