Differences

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--- enhance_excylotorsion [2020/11/21 12:39] – created Scott Larson
+++ enhance_excylotorsion [2020/11/21 18:02] (current) – Scott Larson
@@ Line 1: / Line 1: @@
-====== Surgical Methods to Enhance Excyclotorsion ======
+====== Procedures to Enhance Excyclotorsion ======
   * Oblique Surgery
     * Superior Oblique Tenotomy
       * weakens incyclotorsion effects of the superior oblique muscle
-      * also weakens vertical effects and causes nasal shift in down-gaze
+      * also treats vertical deviations and causes esoshift shift in down-gaze
-    * Inferior Oblique Anterior lateral transposition
+      * [[https://childrenseye.org/filerun/FileRun/wl/?id=ScUqvnc0y8DiLN9wQGFhYD0hdh8JBubw|Superior Oblique Tenotomy: Indications and Complications. Scott, Jampolsky and Redmond]]
+      * [[https://childrenseye.org/filerun/FileRun/wl/?id=oPX7lXupD8Kr0zYTy1IlvRuS4MlhGqDS|Surgery of the Superior Oblique Scott and Kraft]]
+    * Inferior Oblique Anterior lateral transposition
+      * Advance insertion above superior border of lateral rectus
+      * {{:enhance_excyclotorsion_del_monte.png?400|}}
       * Del Monte, MA, Scobee Memorial Lecture 2001, American Orthoptic Journal 2002;52:40-57
   * Vertical Rectus Surgery
     * Superior Rectus- tertiary action is incyclotorsion
-      * Superior Rectus recession
+      * Nasal Transposition
-        * Most helpful if the muscle is tight
+      * Recession
-      * Superior Rectus Nasal Transposition
+        * Effect will be small unless the muscle is tight (i.e. Graves disease)
-        * Up to one tendon with can strengthen incyclotorsion up to 10 degrees
+    * Inferior Rectus
-    * Inferior Rectus Temporal Tranposition
+      * Inferior Rectus Temporal Tranposition
+      * Resection: Small effect
+  {{::vertical_rectus_surgery_to_increase_excyclotorsion.png?300|}}\\
 {{tag>strabismus_surgery}}

strabismus surgery