Simplified limbal approach in squint surgery.

Simplified limbal approach in squint surgery.

The limbal approach is not new to squint surgery* but, despite its considerable advantages in exposure and subsequent healing, the methods described so far are not easy to perform to obtain the best final results. In particular, the incision commonly described needs very accurate suturing of the conjunctival flap with its two radially placed incisions to achieve a good cosmetic result. The meth...

Horizontal squint surgery. The mathematical approach.

STANDARDIZATION of the surgical treatment of strabismus has long been the ambition of surgeons. Even for the most experienced the number of millimetres of recession or resection to perform is always a difficult decision. Because of individual variation in response to similar surgical procedures, Cooper (1961) believed it difficult to predict the result. Knapp (1958) considered accurate estimati...

Limbal incision with conjunctival continuous key-pattern suture in squint surgery.

This paper describes an improvement in the technique of limbal incision of the conjunctiva in squint operations. The limbal incision was first described by Zugsmith (I959) as a peritomy incision, but Massin and Hudelo (I962) were the first to show its full advantage in squint surgery, and von Noorden (i 968, i 969) improved the technique. The limbal incision has the merits of providing a scarle...

Adjustable sutures in squint surgery.

Use of miotics in squint surgery.

AFIER operations for convergent squint, a comparatively frequent result is that the eyes are straight for distance, but on attempting near vision, the squint reappears. It happens even after a full recession of both medial recti and after the fullest possible spectacle correction. This residual acconmmodational squint proves a great handicap to the full restoration of binocular single vision an...