Purpose: To introduce an advanced muscle hook to decrease risks and create more feasible extraocular muscle surgeries for physicians. Case Report: Tight extraocular muscles during strabismus surgery could be extremely challenging even in experienced hands due to restricted globe rotation, limited view, and lack of muscle elasticity. Although a variety of surgical instruments have been introduce...

Dr. Nelson has no financial or proprietary interest in the materials presented herein. doi:10.3928/01913913-20151208-01 Although temporary changes in corneal curvature following strabismus surgery have been described, there has been little known about macular changes occurring as well. Optical coherence tomography (OCT) can detect even subclinical postoperative changes. In this issue, Mintz et ...

Strabismus surgery may be responsible for some restrictions in ocular motility that may cause new problems after surgery. Most of the time these restrictions present as a complex motility problem after surgery that requires further treatment. There may be various reasons that cause motility restriction following strabismus surgery. Those are excessive shortening or inadvertent capture of extrao...

CASE REPORT A woman was operated on for strabismus under topical anesthesia. An exudative conjunctivitis was diagnosed immediately after the surgery, and a uveal effusion syndrome diagnosed 15 days later. Surgery exploration, vycril suture removal and therapy with systemic, sub-tenon, and topical corticosteroid and antibiotics was initiated. Intraoperative culture revealed evidence of Staphyloc...

PURPOSE We sought to describe the change in ocular alignment at 2 years after treatment of amblyopia in children younger than 7 years of age at enrollment. METHODS A randomized clinical trial of patching versus atropine for 6 months followed by standard clinical care for 18 months was conducted in 357 children with anisometropic, strabismic, or combined amblyopia (20/40-20/100) whose ages ran...

Background: OCR commonly occurs during strabismus surgery, producing bradycardia, arrhythmias and even cardiac arrest after manipulation of orbital structures. Ketamine is NMDA receptor antagonist acts as an analgesic. Aim: To determine the effect ketamine premedication on prevention surgery. Study design: Randomized control trial Methodology: 60 patients were randomly divided into two groups i...

Botulinum Toxin as a medical therapy was introduced by Dr Alan Scott more than 20 years ago. The first clinical applications of Botulinum Toxin type A (BT-A) were for the treatment of strabismus and for periocular spasms. Botulinum Toxin type A is often effective in small to moderate angle convergent strabismus (esotropia) of any cause, and may be an alternative to surgery in these cases. Botul...

AIMS To compare the relative antiinflammatory potency and safety of topical diclofenac-gentamicin with betamethasone-neomycin following strabismus surgery. METHODS A single centre, single observer, prospective, randomised, and double masked clinical trial of 25 children undergoing bilateral symmetrical horizontal strabismus surgery was carried out. One eye received diclofenac-gentamicin and t...