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Chapter-41 Surgical Procedures in Strabismus Surgery

BOOK TITLE: Surgical Techniques in Ophthalmology (Pediatric Ophthalmic Surgery)

Author
1. Sharma Pradeep
2. Datta Paromita
ISBN
9789350251485
DOI
10.5005/jp/books/11282_41
Edition
1/e
Publishing Year
2011
Pages
9
Author Affiliations
1. Dr RP Centre for Ophthalmic Sciences, AIIMS, New Delhi, India, Dr RP Centre for Ophthalmic, Sciences, AIIMS, New Delhi, India, Dr RP Centre for Ophthalmic Sciences AIIMS, New Delhi, Dr RP Centre for Medical Sciences, AIIMS, New Delhi, India, Dr RP Centre for Ophthalmic Sciences, AIIMS, New Delhi, BLK Superspeciality Hospital, New Delhi, India, AIIMS, New Delhi, India, Sri Balaji Action Medical Institute, New Delhi, India, SPS Apollo Hospitals, Ludhiana, Punjab, India, Dr Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Deep Hospital, Ludhiana, Punjab, India, Strabismus, Pediatric Ophthalmology and Neuro-ophthalmology Centre for Sight, New Delhi, India, Command Hospital, Pune, Maharashtra, India, Deep Hospital, Satguru Partap Singh Apollo Hospitals, Ludhiana, Punjab, India
2. Dr RP Centre for Ophthalmic, Sciences, AIIMS, New Delhi, India, Dr RP Centre for Ophthalmic Sciences AIIMS, Ansari Nagar New Delhi
Chapter keywords

Abstract

Strabismus surgery has been changing with the times, new techniques have proved effective. Newer inferior oblique weakening procedures are anterior transposition of the inferior oblique (IO) muscle and have been widely used for the treatment of increased adduction. Anterior and nasal transposition (ANT) procedure, ANT of the IO muscles may be an effective procedure to weaken and reverse the action of the IO muscle when other IO muscle weakening procedures fail. Surgical treatment of third nerve palsy, sensory exotropia and strabismus secondary to anomalous innervations of the rectus muscles, frequently requires large rectus muscle recessions in an attempt to maintain alignment in the primary position and reduce the effects of misinnervation. Periosteal anchoring of lateral rectus is common now days. Vertical rectus transposition (VRT) surgery for the treatment of paralytic strabismus is also done. VRT results in excellent alignment in the primary position and restores a useful binocular visual field of about 50% of normal. Periosteal fixation of the globe third nerve palsy is also very useful.

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