Sensorimotor Considerations for Strabismus Surgery Namita Kashyap, CO PRE- AND POSTOPERATIVE SENSORIMOTOR MANAGEMENT Ocular misalignment, diplopia, and/or visual confusion can occur for many reasons pre- and postoperatively and need to…
Strabismus Surgery Complications Jill C. Rotruck, MD INTRODUCTION All surgeries carry risks and may have unexpected outcomes. Fortunately, severe complications in strabismus surgery are rare. It is important to understand…
Pharmacologic Management of Strabismus Jeffrey S. Hunter, MD Pharmacologic treatments may offer nonsurgical alternatives to surgery for pediatric and adult strabismus/motility disorders.1 MIOTICS / PARASYMPATHOMIMETICS (ECHOTHIOPHATE IODIDE [0.125%]) These drugs…
Nystagmus Surgery Eniolami O. Dosunmu, MD PREOPERATIVE CONSIDERATIONS Indications for surgical intervention: Correct an abnormal head posture (AHP)—a consistent anomalous head turn, tilt, and/or chin position. The goal is to…
Duane Retraction Syndrome Tanya Glaser, MD Laura B. Enyedi, MD PREOPERATIVE CONSIDERATIONS Duane retraction syndrome (DRS) is a spectrum of eye motility disorders caused by misinnervation of the lateral rectus…
Paralytic Strabismus Jared E. Duncan, MD PREOPERATIVE CONSIDERATIONS Paralytic strabismus refers to a group of eye muscle impairments that results from innervation interruption to the third, fourth, and/or sixth cranial…
Pattern Strabismus Michelle S. Go, MD Laura B. Enyedi, MD PREOPERATIVE CONSIDERATIONS Clinical evaluation should include measurement of deviation in multiple positions of gaze with particular attention to the difference…
Posterior Fixation Sutures Charles J. Bock Jr, MD PREOPERATIVE CONSIDERATIONS In strabismus where a strengthening procedure is contraindicated or not possible, weakening of the contralateral yoke muscle may be considered….
Adjustable Sutures in Strabismus Surgery Federico G. Velez, MD PREOPERATIVE CONSIDERATIONS Indications: Patient selection: Any patient undergoing eye muscle surgery who can tolerate adjustment under topical anesthesia (pediatric patients if…
Superior Oblique Procedures HongVan Le, MD SUPERIOR OBLIQUE MUSCLE The superior oblique (SO) intorts, depresses, and abducts the eye (see Chapter 42). Patients with a SO palsy will typically demonstrate…
