Small Deviations: Vertical, Horizontal, and Combined

Archer, Steven M.
January 2015
American Orthoptic Journal;2015, Vol. 65 Issue 1, p31
Academic Journal
Introduction and Purpose: Symptomatic, small-angle strabismus is largely an acquired problem of adults that has previously been managed with prism spectacles. This paper will explore surgical options that are becoming increasingly popular. Methods: The special issues that confound surgical treatment of small-angle strabismus are considered. Surgical procedures described in the literature and in the author's experience that address these issues are reviewed. Results: Several recently described surgical techniques show promise for treatment of small-angle strabismus in adults. Their use is illustrated in a case report. Review of the author's practice shows a rapid increase in surgery for small-angle strabismus. Conclusions: Surgical strategies for small deviations are increasingly important to meet the spectacle-free expectations of our adult patients.


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