Strabismus Operations
Objective
Shortening or lengthening of the ocular muscles to correct
squint.
Position
Supine.
Anesthesia
General.
Procedure
1. An eye speculum is
inserted.
2. Traction
sutures are placed into the sclera.
3. And
a curved incision made in the conjunctiva.
4. The
conjunctiva is freed from the underlying fascia.
5. Insertion
of the ocular muscle on the sclera isolated.
6. Sutures
inserted at the point chosen for division of the muscle to replace it into the
new insertion.
7. For
resection the amount of muscle selected for resection is removed and shortened
stump of muscle sutured to the sclera at the muscle insertion.
8. The
conjunctiva is closed with continuous synthetic non-absorbable or silk sutures.
Instruments
• General ophthalmoplasty
set
• Strabismus
set
• Rule,
stainless steel 15 cm (6 in)
• Diathermy
forceps, electrodes, cable and cable forceps
• Towel
clips (Backhaus), 4
• 2
(4/0) Synthetic non-absorbable or silk on small curved cutting needle for
traction suture
• 1.5
(5/0) Synthetic absorbable or 0.5 (8/0) synthetic non-absorbable or silk on
small curved cutting needle for conjunctiva
• Eyelid
speculum guarded (Lang)
• Graefe
strabismus hooks (Fig. 14.34)
• Fine
dissecting forceps (Fig. 14.43)
• Scissors
(Westcott) (Fig. 14.44)
• Muscle
forceps (Fig. 14.45)
• Needle
holder (Barraquer) (Fig. 14.4).
Any questions be sent to drmmkapur@gmal.com
All older posts are stored in archives for access and review.
Visitors that follow may post contributions to the site,please write to address above.
To create consumer/provider engagement visit www.surginstruatlas.blogspot.com
