By Kenneth W. Wright, Yi Ning J. Strube
Strabismus might be devastating to sufferers, but usually tough to regard, even for the main pro veteran. The Atlas of Strabismus surgical procedure, Fourth Edition basically and succinctly stocks with the reader ideas and surgical options to enhance the care of sufferers, beginning with the straightforward fundamentals and progressing to extra advanced strategies. up-to-date from the winning 3rd variation, the atlas is designed for resident ophthalmologists and skilled strabismologists alike. entire with 1000s of colour illustrations, The Atlas of Strabismus surgical procedure, Fourth Edition covers the administration of a variety of strabismus problems, from the quite easy horizontal strabismus, to the complicated cyclo-vertical deviations.
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Extra info for Color Atlas Of Strabismus Surgery: Strategies and Techniques
Recessions are routinely performed on rectus muscles but can also be performed on oblique muscles. Inferior oblique muscle recession, a popular procedure for weakening the inferior oblique muscle, is described in more detail in Chap. 17. Recession of the superior oblique tendon can weaken the superior oblique muscle, but moving the broad insertion of the superior oblique tendon anterior and nasal can produce limitation of depression postoperatively. Principles of Strabismus Surgery A more controlled method of slackening the tendon is a tendon lengthening procedure, the “Wright silicone tendon expander” (see Chap.
1998;2:201–6. 3 Infantile Esotropia An esotropia (ET) presenting during the first 6 months of life is termed infantile esotropia. Of the various presentations of infantile esotropia, these are the most common: • Small-angle neonatal esotropia • Congenital esotropia • Ciancia’s syndrome • Accommodative infantile esotropia More than 70 % of normal neonates typically have a small exotropia, which usually resolves by 4–6 months of age. Infantile esotropia, on the other hand, is rare and usually does not resolve spontaneously.
Even older patients, however, do occasionally show a surprise outcome of good binocular function and even stereo acuity. 1 Treatment If there is poor fusion potential, aim to undercorrect slightly, and leave an esotropia of 6–8 PD. If the patient is amblyopic (20/50 or worse), consider monocular surgery (MR recession and LR resection) on the amblyopic eye, to avoid surgical risk to the “good” eye. 4 Inferior Oblique Overaction Inferior oblique overaction is usually bilateral and develops after 1 or 2 years of age.