Strabismus Surgery: Innovative and Classic Approaches

Description:

A unique how-to guide on surgical management of strabismus from top experts in the field!

Strabismus correction is the third most common ophthalmic surgery in the US, with 1.2 million procedures performed each year. Strabismus Surgery by renowned pediatric ophthalmologist Irene Ludwig provides comprehensive coverage of strabismus treatment – featuring state-of-the-art techniques based on recent anatomical research and discoveries. Throughout the text and accompanying videos, an impressive group of contributors share clinical pearls and firsthand knowledge.

Recent research shows that strabismus has a mechanical etiology more frequently than previously thought, and that by directly correcting the mechanical defects, more targeted correction is possible than with traditional approaches. Accordingly, the book is organized by mechanism rather than strabismic deviations and patterns. Presented in four parts, each of which is further delineated by sections, this unique textbook includes 36 chapters starting with the fascinating history of strabismus surgery and concluding with future possible treatments.

Key Highlights:

New surgical techniques designed to correct muscle displacements and muscle defects related to abnormalities of the extraocular muscle pulleys and intermuscular bands

Recognition and repair of stretched scar and flap tear

A section dedicated to CNS-related causes of strabismus discusses state-of-the-art surgical approaches for conditions including nystagmus and cranial nerve palsies

A comprehensive summary of injection techniques using botulinum toxin and bupivacaine to correct strabismus, particularly in otherwise inoperable conditions

Ninety strabismus surgery videos demonstrate a full spectrum of basic to advanced techniques

Remarkable illustrations beautifully capture the complex anatomy of the eye muscles and pulleys

The mechanistic approaches described in this outstanding resource will help trainees and seasoned ophthalmologists achieve more precise and lasting results.

My Search for Relief from Double Vision

Editor’s Discussion of Mr.Watson’s Essay

Contributors

Part I Introduction

1. The History of Strabismus Surgery

Part II Strabismus Diagnosis and Surgical Planning

Section 1 General Preoperative Evaluation

Introduction: Surgical Planning-Gathering data

2. The History and Examination in Strabismus

3. The Use of Testing, Consultants, and Intraoperative Assessment

Section 2 Surgical Anatomy and Physiology and Surgical Principles

4. Surgical Anatomy of the Extraocular Muscles

5. Collagen and Healing

6. Injection of Eye Muscles to Treat Strabismus

7. Complications of Strabismus Surgery

8. The Inferior Oblique—Strabismus Diagnosis and Surgical Planning: Surgical Anatomy, Surgical Principles, andWound Healing

Section 3 Torsion and the Oblique Muscles

9. The Superior Oblique

10. Brown’s Syndrome

11. Torsion

Section 4 Inflammation and Strabismus

12. Thyroid Ophthalmopathy

13. Presumed Sinus-Related Strabismus

14. Pterygium and Strabismus

Section 5 Strabismus Related to Central Nervous System Disorders

15. Duane’s Syndrome

16. Dissociated Vertical Deviations

17. Nystagmus Surgery

18. Cranial Nerve Palsies

Section 6 Orbital and Pulley Abnormalities

19. Displaced Muscles (Pulley Heterotopias)

20. Traumatic Strabismus: Direct Orbital and Muscle Trauma and Flap Tear

Part III Surgical Techniques

Section 1 General Principles and Classic Techniques

21. Anesthesia for Strabismus Surgery

22. Strabismus Surgical Instrumentation

23. Classic Strabismus Surgery: Rectus Muscle

24. Plications and Tucks

Section 2 Oblique Muscle Surgery

25. The Inferior Oblique: Surgical Techniques

26. The Superior Oblique: Surgical Techniques

Section 3 Managing Collagen Abnormalities During Strabismus Surgery

27. Stretched Scar Repair and Management of OtherWeak Collagen Abnormalities

28. Managing Excessive Scar Tissue (Adhesive Syndrome)

Section 4 Advanced Techniques

29. Traumatic Strabismus Repair (Flap Tear, Slipped and Lost Muscles)

30. Pulley Surgeries

31. Injection Technique

32. Adjustable Sutures and Hang-Back Suture Technique

33. Procedures to Restrict Movement

34. Mini-Procedures and Compartmental Surgery for Small Angle Strabismus

35. Transpositions

Part IV Conclusion

36. Imagining the Future of Strabismus Surgery

Appendix A: Neurological and Neuro/Genetic Disorders

Appendix B: Patterns by Chapter

Index

Additional MedOne Access Information