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Minimally Invasive Strabismus Surgery

  • Kenneth W. Wright
  • Yi Ning J. Strube

Abstract

Minimally invasive strabismus surgery provides a valuable option for our strabismus patients with small deviations, and offers an additional or alternative treatment option to the use of prism glasses. The techniques described below can be performed in the office under topical anesthesia, are less invasive than standard strabismus muscle surgeries, and preserve the integrity of the muscle insertion, presumably sparing the anterior ciliary vessels.

Keywords

Minimally invasive strabismus surgery Central muscle-sclera plication Mini-plication Central tenotomy Mini-tenotomy 

Supplementary material

Video 22.1

Central tenotomy. This minimally invasive procedure, developed by Dr. Wright, weakens rectus muscles slightly by cutting the central tendon. Central tenotomy is useful for correcting microhypertropias, and corrects 2 prism diopters (PD) for each vertical rectus muscle. The procedure can be done with topical anesthesia (AVI 5,424 kb)

Video 22.2

Central plication. This minimally invasive procedure, developed by Dr. Wright, tightens the central aspect of a rectus muscle. It tightens the central muscle and preserves the anterior ciliary arteries. It corrects 6–8 prism diopters (PD) for a 4–5 mm central plication of a rectus muscle. It can be done under topical anesthesia (Ishita Anand, MD; video editor) (WMV 66,638 kb)

References

  1. 1.
    Leenheer RS, Wright KW. Mini-plication to treat small-angle strabismus: a minimally invasive procedure. J AAPOS. 2012;16:327–30.CrossRefGoogle Scholar
  2. 2.
    Leenheer RS, Wright KW. Letters to the Editor: Reply. Mini-plication to treat small-angle strabismus: a minimally invasive procedure. J AAPOS. 2013;17:337.CrossRefGoogle Scholar
  3. 3.
    Wright KW. Mini-tenotomy procedure to correct diplopia associated with small-angle strabismus. Trans Am Ophthalmol Soc. 2009;​107:97–102.PubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Kenneth W. Wright
    • 1
  • Yi Ning J. Strube
    • 2
  1. 1.Wright Foundation for Pediatric Ophthalmology and Adult Strabismus Medical CenterLos AngelesUSA
  2. 2.Queen’s UniversityKingstonCanada

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