Strabismus Surgery: Basic and Advanced Strategies

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Strabismus is a disorder in which the eyes are misaligned. This volume is the most advanced reference for techniques in diagnosis and treatment of strabismus. Chapters cover diagnosis of, surgical and nonsurgical treatments for, and management of esotropia (eyes aligned inward) exotropia (eyes aligned outward), dissociated strabismus complex, paralytic strabismus, restrictive strabismus, and nystagmus. It also contains a chapter on reoperation strategies.

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Editorial Reviews

Doody's Review Service
Reviewer: Michelle Tarver-Carr, MD, PhD (Johns Hopkins Hospital)
Description: This book is commentary on the basic as well as more complex techniques used in strabismus surgery by the leaders in the field. It is not an inclusive, detailed description of each surgical technique; instead, it elicits opinions on what modifications of these techniques are more successful in clinical practice.
Purpose: The purpose is to help individuals performing strabismus surgery learn the art that is involved in generating a good outcome by surveying those individuals who do it the best and most often. Practitioners with years of clinical experience aid more inexperienced surgeons in making an appropriate decision for the patient when there are multiple options. The book meets its objectives.
Audience: This book is intended for the junior practitioner in ophthalmology who intends to perform strabismus surgery. It is also helpful for the resident rotating on a pediatric service. The authors of each chapter are well versed in this field and do an excellent job of communicating their techniques to individuals who do not have the luxury of spending time in their operating rooms.
Features: There is discussion of the causes, diagnostic techniques, and surgical repair of various muscle dysfunctions. There is even a section devoted to reoperation strategies for the different forms of strabismus. The writing style is similar to sitting in a conference room and having a discussion with the experts. The material is presented, often followed by a comment interjected by the surgeon. A more lengthy discussion may have been nice; however, the goal of the book was not to be comprehensive.
Assessment: This is a useful book for individuals stumped about how to proceed with patients who may not have had a great outcome with their first procedure.
From the Publisher
"This well written, comprehensive book, written by some of the most respected pediatric ophthalmologists, is a "must read" for all who do strabismus surgery. The numerous commentaries by leading authorities adds color and insight to the text, which simulates a lively round-table discussion." —Burton J. Kushner, MD, Director, Pediatric Ophthalmology and Adult Strabismus

"This is a fine monograph. It has many 'pearls' of wisdom and is especially interesting to the experienced strabisimus surgeon to be able to see the varied opinions of the authors and contributors."—American Orthoptic Journal

"The book is an excellent read if you want a complex, comprehensive, and clinically applicable discussion of strabismus surgery."—British Journal of Opthalmology

3 Stars from Doody
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Product Details

Meet the Author

Indiana University School of Medicine

Children's Hospital National Medical Center

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Table of Contents

1. Esotropic Deviations: Michael X. Repka, MD
1.1. Infantile Esotropia
1.2. Acquired Esotropia
2. Exotropic Deviations: M. Edward Wilson, MD
2.1. Intermittent Exotropia
2.2. Congenital Exotropia
2.3. Sensory Exotropia
2.4. Convergence Insufficiency
2.5. Exotropic Duane Retraction Syndrome
3. Oblique Muscle Dysfunction: David A. Plager, MD
3.1. Causes of Oblique Muscle Overactions
3.2. Inferior Oblique Overaction
3.3. Inferior Oblique Underaction
3.4. Superior Oblique Overaction
3.5. Superior Oblique Underaction
4. Dissociated Deviations: M. Edward Wilson, MD
4.1. Terminology of Dissociated Strabismus Complex
4.2. Theories of Causation
4.3. Incidence of the Complex
4.4. Ocular Manifestations of the Complex
4.5. Treatment for Dissociated Vertical Deviation
4.6. Treatment for Dissociated Horizontal Deviation
5. Paralytic Strabismus: Edward G. Buckley, MD
5.1. Surgical Principles
5.2. Surgical Considerations
5.3. Sixth Nerve Palsy
5.4. Third Nerve Palsies
5.5. Double Elevator Palsy
5.6. Internuclear Ophthalmoplegia
5.7. Ocular Myasthenia
5.8. Chronic Progressive External Ophthalmoplegia
6. Restrictive Strabismus: Edward G. Buckley, MD
6.1. Patient Evaluation
6.2. Surgical Concepts
6.3. Surgical Techniques
6.4. Thyroid Ophthalmology
6.5. Orbital Wall Fractures
6.6. Retinal Detachment Surgery
6.7. Cataract Surgery
6.8. Congenital Fibrosis Syndrome
7. Surgery for Nystagmus: Michael X. Repka, MD
7.1. Indications for Surgery
7.2. Patient Evaluation
7.3. Behavioral Interventions
7.4. Optical and Pharmacologic Interventions
7.5. Surgery for Anomalous Head Postures
7.6. Surgery for Head Tilt
7.7. Surgery for Visual Acuity
7.8. Complications of Nystagmus Surgery
8. Reoperation Strategies: David A. Plager, MD
8.1. Principles for Reoperation
8.2. Reoperation for Residula or Consecutive Horizontal Strabismus
8.3. Reoperation for New Vertical Deviation
8.4. Repoperation for Residual of Consecutive Vertical Strabismus
Suggested Readings

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