Where is the incision made for strabismus surgery?
The limbal incision is made at the limbus (See Figure 2) while the fornix incision is 7 to 8 mm posterior to the limbus in the inferior fornix (See Figure 3). Basic rules: A. Rectus surgery: limbal for older patients (over 40 to 45 years old) as the conjunctiva is friable.
When to use fornix or Swan for strabismus surgery?
B. Rectus surgery: fornix or limbal for patients under 40 years old. C. Use fornix for inferior and superior oblique surgery. A swan incision is the incision over the muscle insertion. This gives good exposure but can leave a conjunctival scar. That is why a fornix incision is preferred. If Swan is used, careful closure is required.
How is a Vicryl suture used for strabismus surgery?
Pass a 6-0 Vicryl suture on a spatula needle under the forceps through the 3 to 4 mm of muscle incorporated in the forceps. B. Tie a tight square knot around the central incorporated muscle.
What are the 10 Commandments for strabismus surgery?
Grasp 3 to 4 mm of central muscle 5 mm posterior to the scleral insertion with a 0.5-mm toothed forceps and gently lift. Pass a 6-0 Vicryl suture on a spatula needle under the forceps through the 3 to 4 mm of muscle incorporated in the forceps.
How can strabismus surgery improve quality of life?
Working to equalize visual skills in the two eyes leads to improved function and can set the stage for improved eye teaming. Improve visual processing in the strabismic eye. The brain typically stops using information in the strabismic eye, which is called suppression.
What to do if your child has strabismus?
Strabismus treatments include glasses, prisms, eye patches, and drops that make the vision blurry in one (1) eye. They also include shots to help relax the eye muscles. Your child might have a combination of these treatments. If these treatments do not work, your child might need surgery on their eye muscles.
Do you have to abandon surgery for strabismus?
We’re not suggesting that you abandon any surgical procedures to correct strabismus. That’s an individual decision, and should be made on a case-by-case basis. We are, however, recommending that in each and every case, vision therapy be the first course of action.
What kind of Doctor do you see for strabismus?
The natural inclination with strabismus is to address the cosmetic appearance of a crossed eye, or an eye turn. Parents will meet with an ophthalmologist, who will recommend operating on the eye muscles.