41 Extraocular muscle imbalance that requires muscle weakening in the field of gaze of the muscle but not in primary gaze. See Chapter 3. A complete strabismus evaluation with determination of detailed surgical plan is necessary.
Posterior Fixation Faden Suture
Indications
Preoperative Procedure
Instrumentation
Lid speculum (e.g., Lancaster, Barraquer)
Needle holder
Sutures (6–0 silk with spatula needle, double-armed 6–0 Vicryl with spatula needle (S29 or S14), 7–0 Vicryl suture, 5–0 Mersilene with S28 or S29 needles)
Toothed forceps (e.g., Bishop-Harmon, 0.5 mm Castroviejo)
Two locking 0.5 mm toothed forceps
Westcott scissors (rounded tips)
Cautery (bipolar forceps)
Muscle hooks (e.g., Green, Jameson)
Stevens tenotomy hooks
Castroviejo caliper
Operative Procedure

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