By Kenneth W. Wright MD (auth.), Sonal Farzavandi FRCS (Edin) (eds.)
Color Atlas of Strabismus surgical procedure: ideas and methods offers concise, entire descriptions of surgeries through one of many world's major experts.
Pediatric ophthalmologists, ophthalmology citizens and fellows, in addition to basic ophthalmologists, will locate this atlas to be necessary to their work.
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Additional resources for Color Atlas of Strabismus Surgery: Strategies and Techniques
00 sphere OU) may present with a small exotropia. These patients have some degree of bilateral amblyopia and are hypoaccommodators. Their small exotropia is secondary to poor accommodation and deﬁcient convergence. Treatment is to prescribe the full hypermetropic correction. By prescribing the full plus, vision and accommodation improve, thus improving convergence and control of the exotropia. Surgery is indicated if there is a residual exotropia after prescribing full hypermetropic correction.
0 mm then rerecess the medial recti OU. 5 mm usually corrects about 25 PD of esotropia. 0 mm then resect both lateral recti (LR). 0 mm because you get more of an effect resecting against a previous large MR recession. Consecutive exotropia is a common occurrence after LR resections for a residual esotropia. Consecutive Exotropia: An immediate small exodeviation (10 to 15 PD) is usually “good” as most will improve over several days to weeks because convergence amplitudes are strong. A consecutive exotropia >15 PD that 22 Section One Management Strategies does not improve after 2 to 3 months may be surgically corrected.
1. 7-year old with partially accommodative esotropia (residual esotropia >10 PD for distance and near with full hypermetropic correction). This patient requires strabismus surgery. Residual Esotropia Distance and Near (Partially Accommodative Esotropia): If after prescribing the full hypermetropic correction, a distance esotropia persists, that cannot be fused (>10 PD), then surgery is indicated. This is termed partially accommodative esotropia. Remember, a bifocal add is not indicated if an esotropia persists in the distance that interferes with binocular fusion.