This edited volume on squint covers newer, advanced surgeries that are now utilized globally to achieve superior patient outcomes. The topics include adjustable sutures, ciliary vessel-sparing surgery, superior oblique split lengthening, pulleys in surgery and pulley Faden, periosteal fixation of lateral rectus, muscle transplantation, loop myopexy, superior rectus transposition, advanced surgeries of inferior oblique and muscle transplantation. Chapters include notes on the surgical technique, personal experience of the expert, problems and limitations of the procedure, tips and tricks for improving outcomes, and modifications that may happen in future.
Strabismus surgery has seen major refinements in the last few years. Now surgeons have more options than ever before to consider when planning surgery for their patients. Advances in strabismus surgery is for surgeons who have been doing horizontal strabismus surgery and are now keen to progress to advanced procedures.

nexusstc/Strabismus Surgery: A Guide to Advanced Techniques/e0a56a8be0105e57ee50fd2025b8e27c.pdf

lgli/978-981-19-8433-4.pdf

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zlib/Medicine/Ophthalmology/Jitendra Jethani/Strabismus Surgery: A Guide to Advanced Techniques_25428422.pdf

Springer Nature Singapore Pte Ltd Fka Springer Science + Business Media Singapore Pte Ltd

Springer Nature, Singapore, 2023

Singapore, Singapore

S.l, 2022

producers:
Adobe PDF Library 10.0.1

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Preface 6
Contents 7
Another Take in Strabismus Surgery: Adjustable Suture Techniques 8
1 Introduction 8
2 History 8
3 Indications 9
4 Patient Selection 9
5 Conventional Technique 9
5.1 Bow Tie 10
5.2 Cinch or Sliding Noose Technique 10
6 Modified Techniques 13
6.1 Short Tag Noose 13
6.2 Guyton’s Technique 14
6.3 Ripcord Technique 14
7 Adjustable in Children 15
7.1 Releasable Adjustable in Children 15
7.2 Scleral Pass Adjustable Sutures 16
8 Adjustable Superior Oblique Procedures 17
8.1 Adjustable Harada-Ito 17
8.2 Adjustable Superior Oblique Tendon Advancement 18
9 Semiadjustable Sutures 18
10 Timing of Adjustment 19
11 Conclusions 20
References 20
Anterior Ciliary Vessel Sparing Procedure in Strabismus Surgery 22
1 Anatomy and Physiology 22
2 Anterior Segment Ischemia 24
2.1 Incidence 24
2.2 Risk Factors 25
2.2.1 Increasing Age: Elderly Patients 25
2.2.2 Orbital and Ocular Disorder 25
2.2.3 Prior Ocular Surgery 25
2.2.4 Proposed Surgery 25
2.3 Sign and Symptom 25
2.4 Classification of Anterior Segment Ischemia 26
2.5 Treatment 26
2.6 Prevention of ASI 26
2.6.1 Strategies to Prevent Anterior Segment Ischemia 26
3 Anterior Ciliary Vessel Sparing Surgery 26
3.1 Surgical Technique 27
3.1.1 Incision 27
3.1.2 Rectus Muscle Isolation 27
3.1.3 Preserving the Vessels (Fig. 3a, b) 27
3.2 Completing the Rectus Muscle Procedure 28
References 29
Recent Advances in Inferior Oblique Strabismus Surgeries 30
1 Introduction 30
2 Brief History 31
3 Recent Advances in Surgical Technique 36
3.1 Anterior and Nasal Transposition Surgery 36
3.1.1 Principle 36
3.1.2 Indications 36
3.1.3 Technique 37
3.1.4 Complications 38
3.2 Orbital Wall Fixation of Inferior Oblique 38
3.3 Muscle Belly Transposition 38
3.4 Adjustable Inferior Oblique Surgery 39
3.5 Inferior Oblique Nasal Myectomy 40
References 40
Superior Oblique Split Lengthening (SOSL) Surgery 42
1 Other Surgeries for Superior Oblique Weakening 42
2 Surgical Technique 43
3 Advantages 46
References 46
Lateral Rectus Transposition in Third Nerve Palsy 47
1 Introduction 47
2 Technique 48
3 Mechanism 49
4 Efficacy 49
5 Considerations 49
References 50
Periosteal Fixation for Exotropic Duane Retraction Syndrome 51
1 Introduction 51
References 53
Superior Rectus Transposition 54
1 Technique (Fig. 1) 55
2 Efficacy 56
3 Adverse Events 57
4 Mechanism of Action and Why No Torsion? 58
5 Summary 58
References 62
Loop Myopexy for Strabismus Fixus 64
1 Introduction 64
2 Etiopathogenesis 65
3 Diagnosis 65
3.1 Clinical Presentation 65
3.2 Imaging 66
4 Measuring Angle of Dislocation of the Globe 67
4.1 Differential Diagnosis 67
4.2 Treatment 68
5 Surgical Technique by Yokohama 68
5.1 Technique 69
5.2 Characteristics of the Operated Eyes 69
5.3 Presentation 69
5.4 Surgical Outcomes 70
6 Other Surgical Techniques 70
6.1 Yamada’s Technique 70
6.2 Loop Myopexy with Transposition 71
6.3 Modifications of Loop Myopexy Surgery 71
6.4 Shenoy et al. 71
6.5 Wong et al. 72
7 Selection of a Surgical Procedure Based on Degrees of Strabismus 72
8 Conclusion 73
References 73
Plications and Miniplications for Small Angle Strabismus 75
1 Plications 76
2 Miniplications 76
3 Surgical Technique 77
3.1 Miniplication 77
3.2 Muscle Plication 77
4 Advantages and Indications 78
References 80
Globe Fixation in Complete Third Nerve Palsy 81
1 Introduction 81
2 Techniques for Medial Globe Fixation in Third Nerve Palsy 82
2.1 Globe Fixation with Silicon Band 82
2.2 Globe Fixation with Silicon Tube 82
2.3 Globe Fixation with Autologous Fascia Lata 82
2.4 Globe Fixation with Superior Oblique Tendon 82
2.5 Periosteal Flaps as Globe Tethers 82
2.6 Other Materials as Tether in Globe Fixation 83
3 Titanium Plate and Suture as a Platform for Globe Alignment 83
4 Globe Fixation with Non-absorbable Suture 83
5 Preferred Technique of the Authors 84
6 Procedure 84
6.1 Deactivation of LR 84
7 Globe Fixation at Nasal Periosteum 85
8 Conclusion 89
References 89
True Muscle Transplantation for Very Large Angle Esotropia Strabismus 91
1 Surgical Technique (Figs. 1, 2, 3, 4, 5, and 6) 91
2 How Does It Work? 94
3 Why Transplantation? 94
4 Advantages 95
References 96
Adjustable Faden: A Unique Strabismus Surgery 97
1 Indications 97
2 Measurements of Recession and Resection 98
3 Surgical Technique 98
References 100

2023-07-18