All operations were performed under general anaesthesia using a limbal approach to the insertions of the muscles, similar to that recently described by Fells (I97 i). The 6/o Ethiflex suture was then used in the standard manner employing a "whip" stitch on the edge of each muscle. At the moment the suture is presented with a io-mm. taper-point needle. This is not ideal, but no problems, apart f...

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...

The limbal approach is not new to squint surgery* but, despite its considerable advantages in exposure and subsequent healing, the methods described so far are not easy to perform to obtain the best final results. In particular, the incision commonly described needs very accurate suturing of the conjunctival flap with its two radially placed incisions to achieve a good cosmetic result. The meth...

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...

The results of squint surgery in 40 children with congenital esotropia are analysed. A 'favourable outcome' was achieved in 23 (57.5%) children. The factors affecting the final outcome including ocular alignment in the immediate postoperative period, age at the time of surgery, amblyopia, associated inferior oblique overaction, dissociated vertical deviation, latent or manifest latent nystagmus...

AFIER operations for convergent squint, a comparatively frequent result is that the eyes are straight for distance, but on attempting near vision, the squint reappears. It happens even after a full recession of both medial recti and after the fullest possible spectacle correction. This residual acconmmodational squint proves a great handicap to the full restoration of binocular single vision an...

PURPOSE To report the outcomes in patients undergoing surgical correction of intermittent exotropia and to compare the age at surgery to motor and sensory success. METHODS This was a retrospective cohort study. The results of patients with intermittent exotropia treated with surgery over a 4-year period were reviewed. Patients were divided into two groups based on age at first surgery (<4 yea...