Titlebook: Color Atlas Of Strabismus Surgery; Strategies and Techn Kenneth W. Wright,Yi Ning J. Strube Book 2015Latest edition Springer Science+Busine

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Exotropiae exotropia (Fig. 5.1). When fusing, the eyes are straight and stereo acuity is excellent, usually 40 s of arc. When tropic, there is large, hemiretinal suppression of the deviated eye. It is common for patients to show a preference for one eye, but the clinician should resist the temptation to labe

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Topical Anesthesia Strabismus SurgeryIt also eliminates the risk of globe perforation, optic nerve damage, and myotoxicity that is associated with retrobulbar injection. Topical anesthesia can be especially useful in senior citizens who have medical issues that make general anesthesia dangerous.

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Adjustable Suture Techniquethis technique has the theoretical advantage of allowing fine tuning of ocular alignment. Unfortunately, fine tuning must be done within the first 24–48 h after the procedure, when the muscle function has not completely returned and the patient may still have residual effects of anesthesia. Muscle a

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Rectus Muscle Tightening Procedures proven reliable, as it tends to loosen over time. A tuck is a muscle-to-muscle union. Because the muscle fibers are longitudinal and the transverse fibers are weak, the sutures tend to pull out and slip. The rectus muscle plication, however, involves securing posterior muscle to sclera, and this pr

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Inferior Oblique Muscle Weakening Proceduresge with pupillary dilatation, and intraoperative hemorrhage. More recently, however, the management of inferior oblique overaction has improved substantially. The late Dr. Marshall Parks pioneered meticulous techniques that all but eliminated these complications. Another important advance has been t

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