George J L, Laroche P, Heymann V, Sirbat D, Raspiller A
Service d'Ophtalmologie B, Hôpital de Brabois, Vandoeuvre.
J Fr Ophtalmol. 1987;10(12):763-71.
Ischemia of the anterior segment of the eye is rare but may be in relation with some strabismic procedures. The physiopathology is unclear. This experimental data on human cadaver studied the arterial vascularization of the major circle of iris with injection and opacification of an aqueous suspension of barium. The respective participation of anterior ciliary arteries and long posterior ciliary arteries, respectively were analysed. Some recti muscles were cut with various combinations and before injection. The breaks of the major arterial circle which resulted were noticed. They were large when both vertical recti were cut and minimal or absent when both horizontal recti were cut. The anterior ciliary arteries coming from interior and superior rectus are very important. The long posterior ciliary arteries seem to be more important than the anterior ciliary arteries coming from both horizontal recti muscles and especially the medial long posterior ciliary artery. Our study provides an explanation of classical iatrogenic iridociliary ischemia following Hummelsheim or O'Connors strabismus procedure.