Background: Strabismus surgery aims to improve the ocular alignment of visual axis & cosmetic appearance studied cases with strabismus. The most common functional benefits are restoration binocular vision, elimination diplopia compensatory head posture.In large-angle exotropia, many surgical methods have been performed, bilateral lateral rectus recession, medial resection recession frequently u...

BACKGROUND Patients with 'A' or 'V' pattern esotropia without vertical muscle overaction have traditionally been treated with medial rectus recession and vertical transposition of the muscle insertions. METHOD Seven cases are presented treated by slanting muscle insertions, whereby the lower margin of the medial rectus is preferentially recessed more than the upper margin in esotropia, and th...

The author presents his arguments to state that the Duane’s syndrome type III of the Huber’s classification does not exist. He takes the chance of those arguments to show why the medial rectus muscle recession in Duane’s syndrome with esotropia cripples the adduction more that it does in esotropias of other origins. He shows also why one must recess also the sound eye’s medial rectus in Duane’s...

BACKGROUND AND AIM Rectus muscle insertions are usually linear or slight curved with the anterior convexity. While operating squint surgeries, we found a presence of ridge-like structure at the medial rectus insertion. None of the other rectus muscle insertions had such structure. MATERIALS AND METHODS Patients undergoing squint surgery were included in the study. All the patients had negativ...

FIG. I Superior and inferior rectus muscles are displaced temporally, the nasal tip of each muscle being attached at the temporal end of the original insertion and the temporal tip being attached at the upper or lower end of the lateral rectus. The direction of the vertical rectus muscles is thereby changed, so that they abduct instead ofadducting. The operation is completed with a recession of...

To the Editors: Y splitting for the treatment of up or down shoots in Duane’s syndrome was first described by Jampolsky in 1980.1 Apart from Y splitting of the lateral rectus muscle, the other surgical options for patients with Duane’s retraction syndrome (DRS) with up and down shoots described previously include simple lateral rectus recession combined with medial and lateral rectus muscle rec...

PURPOSE To investigate the clinical course in patients who underwent surgical correction of consecutive esotropia. METHODS The medical records of 13 patients who underwent surgical correction of consecutive esotropia were reviewed retrospectively. The authors investigated the deviation and surgical method at the time of exotropia surgery. During the follow up period, the authors also studied ...

PURPOSE To introduce myectomy of the lateral rectus muscle for correcting exotropia in patients with third nerve palsy. METHODS The lateral rectus muscle of the paretic eye was myectomized without suturing it to the globe. This was combined with a medial rectus muscle resection and a contralateral lateral rectus muscle recession. Magnetic resonance imaging was performed to observe the re-atta...

purpose: to report a patient with exotropia due to medial rectus muscle entrapment as a complication of endoscopic dacryocystorhinostomy (edcr). case report: a 34-year-old female was referred with left exotropia 18 days after edcr for treatment of primary nasolacrimal duct obstruction. she had a large angle left exotropia in primary position as well as complete limitation of adduction and parti...

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...