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Strabismus surgery (also: extraocular muscle surgery, eye muscle surgery, or eye alignment surgery) is surgery on the extraocular muscles to correct strabismus, the misalignment of the eyes. [1] Strabismus surgery is a one-day procedure that is usually performed under general anesthesia most commonly by either a neuro- or pediatric ...
The management of strabismus may include the use of drugs or surgery to correct the strabismus.Agents used include paralytic agents such as botox used on extraocular muscles, [1] topical autonomic nervous system agents to alter the refractive index in the eyes, and agents that act in the central nervous system to correct amblyopia.
Botulinum toxin therapy of strabismus is a medical technique used sometimes in the management of strabismus, in which botulinum toxin is injected into selected extraocular muscles in order to reduce the misalignment of the eyes. The injection of the toxin to treat strabismus, reported upon in 1981, is considered to be the first ever use of ...
Strabismus may also occur in dogs, most often due to imbalanced muscle tone of the muscles surrounding the eye. Some breeds such as the Shar Pei are genetically predisposed to the condition. Treatment may involve surgery or therapy to strengthen the muscles.
Between two of these incisions, called keyhole openings, there is a "tunnel" used by the surgeon to insert the instrument for the treatment of the eye muscles. [6] At the end of the operation, the keyhole openings are closed with resorbable sutures. These mini-incisions are postoperatively covered by the eyelid.
Alan Brown Scott (July 13, 1932 – December 16, 2021 [1]) was an American ophthalmologist specializing in eye muscles and their disorders, such as strabismus (eye misalignment). He is best known for his work in developing and manufacturing the drug that became known as Botox, research described as "groundbreaking" by the ASCRS. [2]
The most common strabismus finding is large angle exotropia which can be treated by maximal bilateral eye surgery, but due to the progressive nature of the disease, strabismus may recur. [14] Those that have diplopia as a result of asymmetric ophthalmoplegia may be corrected with prisms or with surgery to create a better alignment of the eyes.
Nearly all ocular surgeries viz keratoplasty, cataract extraction, glaucoma surgery, iridectomy, strabismus, [5] retinal detachment surgery etc. can be done under regional anaesthesia. Conjunctiva, globe and orbicularis can be paralysed using a combination of surface anaesthesia, facial anaesthesia and retrobulbar block. [1]