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

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 ...
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