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| ====== Harada Ito Procedure ====== | ====== Harada-Ito Procedure ====== |
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| | ===== Purpose ===== |
| | * Strengthen Incylotorsion effect of the Superior Oblique without affecting vertical alignment |
| | * Most useful with a functioning superior oblique and excyclotorsion present |
| | * Can create 10-15 degrees of incyclotorsion |
| | * The effect may wain 20-30% with time |
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| | ===== Description ===== |
| | Transpose the anterior 1/3 to 1/2 of the superior oblique tendon fibers to the superior border of the lateral rectus muscle. Fixate the tendon 8 mm posterior to and 2 mm superior to the superior border of the lateral rectus muscle. Tightening only the radially oriented fibers will avoid a significant change in vertical deviation but there may be an exoshift in down-gaze.\\ |
| | {{:harada-ito.png?512|}} |
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| ===== References ===== | ===== References ===== |
| === Books === | === Book Chapters === |
| [[https://childrenseye.org/filerun/FileRun/wl/?id=aHC4KLmrtuYYN8q8Xe3qwguO8f4eBOCy|Harada-Ito Procedure In Clinical Strabismus Management, Principles and Surgical Techniques. pages 469-473 by Rosenbaum and Santiago, 1999]] | [[https://childrenseye.org/filerun/FileRun/wl/?id=aHC4KLmrtuYYN8q8Xe3qwguO8f4eBOCy|Harada-Ito Procedure In Clinical Strabismus Management, Principles and Surgical Techniques. pages 469-473 by Rosenbaum and Santiago, 1999]]\\ |
| [[https://childrenseye.org/filerun/FileRun/wl/?id=Z6wVoWmaEh9GwN0aBbYFcl8fTCanpqSs|Harada-Ito Procedure in Strabimus Surgery and its Complications. pages 122-124. Coats and Olitsky, 2007]] | [[https://childrenseye.org/filerun/FileRun/wl/?id=Z6wVoWmaEh9GwN0aBbYFcl8fTCanpqSs|Harada-Ito Procedure in Strabimus Surgery and its Complications. pages 122-124. Coats and Olitsky, 2007]] |
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| === Journal Articles === | === Journal Articles === |
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| [[https://childrenseye.org/filerun/FileRun/wl/?id=hjhBQyvkzmY0yyZXFI5eDjTWUWrDj1Uv|Outcomes of Harada-Ito surgery for acquired torsional diplopia. Bradfield et al. 2012]] | [[https://childrenseye.org/filerun/FileRun/wl/?id=hjhBQyvkzmY0yyZXFI5eDjTWUWrDj1Uv|Outcomes of Harada-Ito surgery for acquired torsional diplopia. Bradfield et al. 2012]]\\ |
| [[https://childrenseye.org/filerun/FileRun/wl/?id=Uap9HcJmIMRl5KBxPJrF3CkMtLAVxEuy|Adjustable Harada-Ito Procedure. Metz & Lerner 1981]]\\ | [[https://childrenseye.org/filerun/FileRun/wl/?id=Uap9HcJmIMRl5KBxPJrF3CkMtLAVxEuy|Adjustable Harada-Ito Procedure. Metz & Lerner 1981]]\\ |
| [[https://childrenseye.org/filerun/FileRun/wl/?id=K8a04gA8FZ5JpyDt37u1uPIYCrNFieii|Long-Term Torsion Effect of the Adjustable Harada-Ito Procedure. Nishimura & Rosenbaum 2002]] | [[https://childrenseye.org/filerun/FileRun/wl/?id=K8a04gA8FZ5JpyDt37u1uPIYCrNFieii|Long-Term Torsion Effect of the Adjustable Harada-Ito Procedure. Nishimura & Rosenbaum 2002]] |
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| | {{tag>strabismus_surgery}} |