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--- harada_ito [2020/11/22 01:44] – Scott Larson
+++ harada_ito [2025/04/18 20:40] (current) – external edit 127.0.0.1
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-====== Harada Ito Procedure ======
+====== Harada-Ito Procedure ======
+===== 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
+===== 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|}}
 ===== 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=Z6wVoWmaEh9GwN0aBbYFcl8fTCanpqSs|Harada-Ito Procedure in Strabimus Surgery and its Complications. pages 122-124. Coats and Olitsky, 2007]]
@@ Line 9: / Line 18: @@
 === Journal Articles ===
-[[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=K8a04gA8FZ5JpyDt37u1uPIYCrNFieii|Long-Term Torsion Effect of the Adjustable Harada-Ito Procedure. Nishimura & Rosenbaum 2002]]
 {{tag>strabismus_surgery}}

strabismus surgery