ABSTRACT
A retrospective review of patients with Adherence Syndrome following strabismus surgery between 1989 and 2001 was performed. All 14 patients were thought to have undergone previous ipsilateral inferior oblique surgery. We usually performed an extensive conjunctival peritomy over nearly 180 degrees recessing the conjunctiva leaving the sclera to repithelialise and in addition recessed the inferior rectus by 2.5–3mm. Only one patient required an additional operation. Of the 11 patients who had undergone surgery at our institution all showed a significant improvement in their symptoms, five were discharged happy, three continue to be followed and three failed to attend further appointments after their initial two week post operation visit. It is not possible to restore normal eye movements in these patients but one can improve their appearance in primary position with single vision. Patients should be given realistic expectations before surgery and the limited aims of surgery must be explained. KEYWORDS: Adherence syndrome, inferior oblique, conjunctival peritomy
