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harada_ito [2020/11/22 02:42] – [Harada Ito Procedure] Scott Larsonharada_ito [2025/04/18 20:40] (current) – external edit 127.0.0.1
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   * Strengthen Incylotorsion effect of the Superior Oblique without affecting vertical alignment    * Strengthen Incylotorsion effect of the Superior Oblique without affecting vertical alignment 
   * Most useful with a functioning superior oblique and excyclotorsion present   * Most useful with a functioning superior oblique and excyclotorsion present
-  * Can improve 10-15 degrees of incyclotorsion +  * Can create 10-15 degrees of incyclotorsion 
 +  * The effect may wain 20-30% with time 
  
 ===== Description ===== ===== Description =====
-Transpose the anterior 1/3 to 1/2 of the superior oblique tendon fibers to the superior border of the lateral rectus muscle. Tightening only the radially oriented fibers will avoid any change in vertical deviation but there may be an exoshift in down-gaze.\\ +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?400|}}+{{:harada-ito.png?512|}}
  
 ===== 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]]