Surgical and Non-surgical Treatment of Strabismus
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There exist both non-surgical and surgical methods of treatment of strabismus. The former includes the use of occlusion, prisms and exercises. The surgical principles of strabismus correction are the weakening (recession, myotomy) or strengthening (resection, plication, tuck) of extraocular muscles. Muscles may also be transposed to provide movement in a field of complete paralysis, subjected to a retroequatorial myopexy to limit movement in the field of action of the muscle. This chapter describes these and other techniques along with specific indications of their use.
KeywordsRecession Resection Myectomy Myopexy Toxin Tuck
Video depicting the use of fornix incision to approach the MR and LR with an explanation of the advantages (MOV 16349 kb)
The use of a hang back adjustable suture on a bow tie while carrying out a LR recession (MOV 17774 kb)
A 47 year old lady with left hypotropia, pseudoptosis and pseudoproptosis secondary to myopia. On a cover test in primary gaze with her myopic glasses o, she has a left small angle esotropia and left hyptropia. There is limitation of left elevation, most prominent in dextroelevation (MOV 73221 kb)