By Kenneth W. Wright, Yi Ning J. Strube
Strabismus may be devastating to sufferers, but usually tough to regard, even for the main pro veteran. The Atlas of Strabismus surgical procedure, Fourth Edition essentially and succinctly stocks with the reader techniques and surgical ideas to enhance the care of sufferers, beginning with the straightforward fundamentals and progressing to extra advanced tactics. up to date from the profitable 3rd variation, the atlas is designed for resident ophthalmologists and skilled strabismologists alike. entire with hundreds and hundreds of colour illustrations, The Atlas of Strabismus surgical procedure, Fourth Edition covers the administration of a variety of strabismus problems, from the fairly basic horizontal strabismus, to the advanced cyclo-vertical deviations.
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Additional resources for Color Atlas Of Strabismus Surgery: Strategies and Techniques
Strong preference for one eye indicates amblyopia. Treat amblyopia by patching the dominant eye 6 h per day until the patient holds fixation well with the nondominant eye. 3 Measure Deviation Prism alternate-cover testing is the most accurate method for measuring the deviation. Use an accommodative fixation target in order to reveal the full deviation. An accommodative target is a target with fine detail that requires full accommodation. Krimsky testing can also be used, but alternate prism cover testing is preferred.
Transposition surgeries can be used to treat a rectus muscle paresis (Chap. 16), A and V patterns (Chap. 15), small vertical tropias (Chap. 15), and torsion (Chap. 15). A right lateral rectus palsy results in an esotropia with limited abduction. The lack of lateral force can be treated by transposing all or part of the superior rectus and inferior rectus muscles laterally to the lateral rectus insertion (Chap. 16). Because the vertical muscles do not contract on abduction, the amount of abduction will depend on the elasticity of the transposed muscles, not on the active contraction of the muscles.
References 1. Christiansen S, Madhat M, Baker L, Baker R. Fiber hypertrophy in rat extraocular muscle following lateral rectus resection. J Pediatr Ophthalmol Strabismus. 1988;25:167–71. 2. Wright KW, Lanier AB. Effect of a modified rectus tuck on anterior segment circulation in monkeys. J Pediatr Ophthalmol Strabismus. 1991;28:77–81. 3. Guemes A, Wright KW. Effect of graded anterior transposition of the inferior oblique muscle on versions and vertical deviation in primary position. J AAPOS. 1998;2:201–6.