Strabismus Surgery
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.
This book includes complimentary access to a digital copy on https://medone.thieme.com.
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Content
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, and Wound 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 Other Weak 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