Ideal for both the student seeking a firmer understanding of strabismus surgery and the experienced surgeon looking to improve clinical decision-making, this practical resource uses a case-based approach to help readers conceptualize, plan, and perform complex strabismus procedures at every difficulty level.
With this handy reference, you’ll examine complex cases—each with a unique set of clinical findings—then analyze the information, choose a surgical approach, and make a detailed plan for the procedure, all the while being guided by the steady hands of experienced strabismus surgeons.
At the end of each case you’ll review the findings and think about what worked – and what could have been done better. Then you’ll take a short-answer quiz to lock in the key concepts.
Look inside and discover…• Fifty-two real-world cases help you apply surgical concepts and optimize patient outcomes• Labeled difficulty levels from “basic” to “expert” help you find the right complexity for focused review• Comprehensive cross-referencing lets you focus on the cases you need to review when you need them• Expert perspectives help you assess complex cases, weigh your options, and refine clinical choices• Extensive video library brings you into the operating room to watch the experts operate• Review questions improve recall and make it easy to prepare for certification examinations• Reader-friendly format condenses vital surgical information into one handy reference
Case #Case Title1 Partially accommodative esotropia 2 Pseudodivergence excess exotropia 3 4th nerve palsy with botulinum toxin trial 4 Congenital nystagmus 5 Traumatic sixth nerve palsy 6 V-Esotropia After LASIK 7 Post-traumatic sensory exotropia 8 Esotropic Duane syndrome type 1 in an adult 9 Large-angle congenital esotropia 10 Diplopia after cataract surgery in a patient with vascular disease11 6th nerve palsy from a diffuse intrinsic pontine glioma 12 Restrictive strabismus after pterigium surgery 13 Bilateral superior oblique palsy 14 Exotropia with V pattern 15 Thyroid eye disease 16 Brown syndrome 17 Consecutive exotropia with pseudotendon (“stretched scar”) 18 Esotropic Duane syndrome type 1 in a child 19 Exotropia with a history of strabismus surgery 20 Large hypertropia in an infant treated with adjustable sutures 21 Increased esotropia after attempted correction 22 Strabismus following ruptured globe 23 Exotropia and amblyopia 24 Botulinum toxin for acute, comitant esotropia 25 Chronic progressive external ophthalmoplegia 26 Thyroid eye disease with a twist 27 Adduction limitation 50 years after surgery for congenital esotropia 28 Congenital 4th nerve palsy in a child 29 Longstanding exotropia in an adult 30 Semi-adjustable inferior rectus recession 31 Acute 6th nerve plasy with spread of comitance in a patient with multiple sclerosis 32 Decompensated esotropia in a teenager 33 Traumatic sixth nerve palsy in a functionally monocular patient 34 Diplopia and difficulty swallowing after cataract extraction 35 Skew deviation 36 Complex strabismus with large fixation disparity 37 Bilateral sixth nerve palsies 38 Initial overcorrection of basic exotropia 39 Aphakia and sensory exotropia 40 Nystagmus with recurrent head turn 41 Hypotropia with monocular elevation deficiency 42 Congenital superior oblique palsy and accommodative esotropia in an adult 43 Inferior division third nerve palsy 44 Congenital 3rd nerve palsy in a child 45 Dorsal midbrain syndrome 46 Congenital fibrosis of the extraocular muscles 47 Traumatic hypertropia 48 Congenital third nerve palsy in an adult 49 Exotropia with A pattern 50 Strabismus after bilateral scleral buckle repair 51 Duane syndrome Type 2 52 Orbital fat adherence syndrome