By Edward L. Raab, MD, JD

ISBN-10: 1615251138

ISBN-13: 9781615251131

Examines the scientific beneficial properties, prognosis and therapy of esodeviations and exodeviations, horizontal and vertical deviations, amblyopia and precise kinds of strabismus. Discusses the entire variety of pediatric ocular issues, extraocular muscle anatomy, motor and sensory body structure and the way to set up rapport with teenagers in the course of an ocular exam. comprises various photos, together with colour pictures. lately revised 2010 2011.

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Additional resources for 2011-2012 Basic and Clinical Science Course, Section 6: Pediatric Ophthalomology and Strabismus (Basic & Clinical Science Course)

Example text

Atlas of Ophtha lmic Surgery, Vol III : Strabismus and Glaucoma. ) pulleys, coordinating lower eyelid positioning with ve rti cal eye positioning during vertical gaze shift. In addition, a dense neurofibrovascular bundle containing the oblique motor nerve also attaches to the conjoined inferior oblique and inferior rectus pulley complex. It has been proposed that the neurofibrovascular bundle's connection to the orbital apex allows this bundle to function as an ancillary inferior oblique origin, tethering it inferiorly.

In dextrocycloversion, both eyes rotate so that the superior portion of the verti cal cor neal meridian moves to the patient's right. Similarly, levocycloversiol'l is movement of both eyes so that the superior portion of the vertica l co rneal meridian rotates to the patient's left. The term yoke muscles is used to describe 2 muscles (I in each eye) that are th e prime movers of the ir respective eyes in a given position of gaze. For example. when the eyes move or attempt to move into right gaze, the right lateral rectus muscle and the left medial rectus mllscle are Simultaneously inn ervated and contracted.

Intermuscular membrane, or conjunctiva, limiting ocular motility. When surgery is performed near the vortex veins, accidental severing of a vein is possible. The procedures that present the greatest risk for damaging a vortex vein are inferior rectus and superior rectus muscle recession or resection, inferior oblique muscle weakening procedures. and exposure of the superior oblique muscle tendon. Hemostasis can be achieved with cautery or with an absorbable hemostatic sponge. The sclera is thinnest just posterior to the 4 rectus muscle insertions.

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