Heat shrinkage of extraocular muscle tendon Journal Article


Authors: Finger, P. T.; Richards, R.; Iwamoto, T.; Myers, D. B.; Jakobiec, F. A.
Article Title: Heat shrinkage of extraocular muscle tendon
Abstract: We have designed and employed a bipolar heating device to shorten extraocular muscles. Treatment involves placing the unidirectional heating device on the sclera with the active surface beneath the tendinous portion of the extraocular muscle. When power is applied, visible tissue shrinkage occurs. Heat-induced extraocular muscle shrinkage was performed on live rhesus monkeys. Two months later, thermal tendinoplasty—treated extraocular muscles were surgically isolated and evaluated for strength. Biopsies were then performed on these muscles. It was our clinical impression that treated tissues retained their strength, while histologic and electron-microscopic evaluation of heat-treated tendon revealed evidence of shrinkage and compaction of collagen bundles. Thermal tendinoplasty may offer a sutureless method of correcting strabismus by shortening and thereby strengthening extraocular muscles. © 1987 Arch Ophthalmol. All rights reserved.
Keywords: human cell; histopathology; animals; histology; macaca mulatta; therapy; eye; muscle; muscles; heat; visual system; tendon; tendons; extraocular muscle; human; priority journal; strabismus surgery
Journal Title: Archives of Ophthalmology
Volume: 105
Issue: 5
ISSN: 0003-9950
Publisher: American Medical Association  
Date Published: 1987-05-01
Start Page: 716
End Page: 718
Language: English
DOI: 10.1001/archopht.1987.01060050134053
PUBMED: 3619751
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 5 February 2021 -- Source: Scopus; Acknowledgements: Julie Quigley provided assistance with equipment, Winston Harrison, MD, assisted with photomicrography (Manhattan Eye, Ear, and Throat Hospital), Samuel Packer, MD, provided valuable guidance (North Shore University Hospital, Manhasset, NY), and Louis Finger, MD, assisted with the translations.
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