Case report on heavy eye syndrome

In high myopia, acquired esotropia can be present as strabismus fixus convergence also known Heavy Eye Syndrome (HES). Although exotropia and hypertropia have been reported, patients typically with diplopia due to increasing hypotropia limitations on abduction elevation. We reported two cases of HES based history clinical examination, which includes anterior posterior segment examination squint evaluation. The MRI both showed displacement lateral rectus inferiorly nasal shifting superior rectus. the forced duction test (FDT) was positive for affected medial (MR) when performed under local anaesthesia. Subsequently, they underwent loop myopexy (SR) medical along MR recession eye. Postoperatively, Case 1 had a residual 18 prism dioptre (PD) case 2 40 PD compare preoperatively 70 80 respectively, measured krimsky test. Axial length lengthening herniation sclera between SR LR muscles are main contributors HES. To stop additional herniation, inter-muscular link must restored. Loop is an elegant effective procedure achieve good cosmetic functional results