The aim of eye muscle surgery is to restore alignment of the visual axes and ocular stability. Albeit compensatory and largely empirical, this surgery can be perfected with a better understanding of the physiopathological mechanisms involved, more detailed semiological analysis, the taking into account of intraoperative data and the use of microsurgical techniques. The three parts of this book allow each of these factors to be discussed at length.Part one covers the basic data relevant to strabismus surgery, with detailed analysis of the effect of different surgical procedures on oculomotor equilibrium and dynamics and their application to any given disorder. The psychological aspects of strabismus surgery are also discussed.Part two gives a full description of the different types of anaesthesia, surgical instruments, and all current operative techniques, covering the aspects of surgical access to, and operations on, the rectus and oblique muscles. Repeat surgery, surgical incidents and complications are treated in a separate chapter.Part three provides the surgical strategy to be followed in individual disorders, whether these be concomitant, paralytic or mechanical, and in nystagmus.A complete and comprehensive text on eye muscle surgery, the clinical and surgical material fully illustrated with drawings and photographs, this book will be of interest to students as well as the experienced ophthalmologist and orthoptist.
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