By David K. Coats (Author), Scott E. Olitsky (Author)
ISBN-10: 3540327037
ISBN-13: 9783540327035
This complete atlas and textbook on strabismus surgical procedure and its problems presents entire step by step guideline for the surgical administration of the strabismus sufferer. partially 1, specified descriptions, images, and diagrams illustrate each one significant surgery and diversifications. half 2 provides an intensive assessment of surgical issues together with their prevention, attractiveness, and remedy. The textual content is lavishly illustrated with art and photographic examples, and well-supported by means of pattern references. A CD-ROM with video-clips of surgeries additional complements this atlas.
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Additional info for Strabismus Surgery and its Complications
Example text
Even patients with significant uncorrected refractive errors are usually able to function relatively well in many activities of daily living without significant difficulty. In contrast, patients with diplopia are rarely able to comfortably participate in most activities without the need to constantly close one eye to eliminate diplopia. Thus, patients who find the use of prism glasses undesirable may be excellent surgical candidates. 3 Incomitant Strabismus A significantly incomitant deviation with symptomatic diplopia is only occasionally successfully treated with prism and thus surgery is usually the primary treatment option.
6 Compensatory Head Posture if even rudimentary fusion is restored. Other ophthalmologists believe that surgery should be performed if the deviation is significant as determined by the patient and/or family. These ophthalmologists feel that there is no functional deficit that can be demonstrated in real world situations in patients who do not have peripheral fusion. 6 Compensatory Head Posture Treatment of strabismus in patients who are not experiencing diplopia or other symptoms, but who have an angle of deviation too large for the development of binocular vision, may still be justified, though not all ophthalmologists agree.
For example, knowing the convergence and divergence fusional amplitudes of a diplopic patient with an esotropia may allow the surgeon to council the patient on the risk of continued double vision should an overor under-correction occur following surgery. Sensory evaluation may help the surgeon in many different ways. For example, it may help the surgeon to decide on optimal surgical timing in young children with intermittent exotropia, the ability to perform superior oblique tenotomy procedures in patients with A-pattern exotropia or to monitor the success of previous treatments.
Strabismus Surgery and its Complications by David K. Coats (Author), Scott E. Olitsky (Author)
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