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enhance_excylotorsion [2020/11/21 19:56] – Scott Larsonenhance_excylotorsion [2025/04/18 20:40] (current) – external edit 127.0.0.1
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-====== Surgical Methods to Enhance Excyclotorsion ======+====== Procedures to Enhance Excyclotorsion ======
   * Oblique Surgery   * Oblique Surgery
     * Superior Oblique Tenotomy     * Superior Oblique Tenotomy
       * weakens incyclotorsion effects of the superior oblique muscle       * weakens incyclotorsion effects of the superior oblique muscle
-      * also weakens vertical effects and causes nasal shift in down-gaze +      * also treats vertical deviations and causes esoshift shift in down-gaze 
-    * Inferior Oblique Anterior lateral transposition +      * [[https://childrenseye.org/filerun/FileRun/wl/?id=ScUqvnc0y8DiLN9wQGFhYD0hdh8JBubw|Superior Oblique Tenotomy: Indications and Complications. Scott, Jampolsky and Redmond]] 
 +      * [[https://childrenseye.org/filerun/FileRun/wl/?id=oPX7lXupD8Kr0zYTy1IlvRuS4MlhGqDS|Surgery of the Superior Oblique Scott and Kraft]] 
 +    * Inferior Oblique Anterior lateral transposition 
 +      * Advance insertion above superior border of lateral rectus 
       * {{:enhance_excyclotorsion_del_monte.png?400|}}       * {{:enhance_excyclotorsion_del_monte.png?400|}}
       * Del Monte, MA, Scobee Memorial Lecture 2001, American Orthoptic Journal 2002;52:40-57       * Del Monte, MA, Scobee Memorial Lecture 2001, American Orthoptic Journal 2002;52:40-57
   * Vertical Rectus Surgery   * Vertical Rectus Surgery
     * Superior Rectus- tertiary action is incyclotorsion      * Superior Rectus- tertiary action is incyclotorsion 
-      * Superior Rectus recession  +      * Nasal Transposition  
-        * Most helpful if the muscle is tight  +      * Recession 
-      * Superior Rectus Nasal Transposition  +        * Effect will be small unless the muscle is tight (i.e. Graves disease)   
-        * Up to one tendon with can strengthen incyclotorsion up to 10 degrees +    * Inferior Rectus 
-    * Inferior Rectus Temporal Tranposition +      * Inferior Rectus Temporal Tranposition   
 +      * Resection: Small effect 
 +  {{::vertical_rectus_surgery_to_increase_excyclotorsion.png?300|}}\\
  
 {{tag>strabismus_surgery}} {{tag>strabismus_surgery}}