Intraoperative Modification of Strabismus Surgery

Abstract

In order to increase the likelihood of success in strabismus surgery, especially in unusual or difficult cases, there are a number of techniques that can be performed intraoperatively. The surgeon can observe the eye position under anesthesia and utilize it to modify the amount of surgery. The results from the forced duction test can alter the operative plan. During surgery, the ophthalmologist should be mindful of anatomical considerations which can affect ocular measurements. The spring-back balance test can be utilized to judge mechanical alignment. Conjunctival recession can increase the power of a recession. The strabismus surgeon should be willing to modify his operative plan based on these operative findings.

• strabismus surgery
• intraoperative modification
• eye position under anesthesia
• forced duction test
• ocular measurements
• spring-back balance test
• conjunctival recession