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Correction of Intractable Cases

ALSTON CALLAHAN, MD

Arch Ophthalmol. 1963;70(4):508-511.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In 1951 Sidney Fox described an operation for intractable blepharospasm, consisting of removal of most of the orbicularis muscle. His plan was used on the first patient who consulted us because of blepharospasm, which had developed in part from repeated, excessive blinking from keratitis sicca and in part from having a highly nervous temperament.

We removed part of the orbital orbicularis, most of the preseptal part, and some of the pretarsal part of the orbicularis muscle. As the operation proceeded, with the extensive removal of muscle tissue we feared that postoperatively the lids might not close, but this fear was unjustified. Though the blink mechanism was still active, the amplitude and intensity of the sphincter action of the orbicuaris muscles were reduced to a more normal level and the patient was benefited.

This massive removal of the orbicularis muscle with bloody oozing of the muscle tissue and occasional spurting of . . . [Full Text PDF of this Article]

Author Affiliations
Birmingham, Ala

Footnotes
Submitted for publication Feb 15, 1963.

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