Strabismus Surgery

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.

  Inhalt

  Part I Introduction
  1 The History of Strabismus Surgery
  Part II Strabismus Diagnosis and Surgical Planning
  Section 1 General Preoperative Evaluation
  Introduction: Surgical PlanningGathering 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 ObliqueStrabismus 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