Part I Management Strategies |
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3 | (4) |
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3 | (1) |
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1.2 Correct Ocular Dominance |
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4 | (1) |
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4 | (1) |
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1.2.2 Penalization therapy |
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4 | (1) |
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1.3 End Point for Amblyopia Treatment |
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5 | (1) |
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5 | (2) |
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2 Principles of Strabismus Surgery |
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7 | (6) |
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7 | (1) |
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8 | (1) |
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2.3 How Does Strabismus Surgery Work? |
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8 | (1) |
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2.4 Muscle Weakening Procedures (Recession and Central Tenotomy) |
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9 | (1) |
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9 | (1) |
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10 | (1) |
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2.5 Muscle Tightening Procedures (Resection, Tuck, and Plication) |
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10 | (1) |
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10 | (1) |
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11 | (1) |
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11 | (1) |
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2.6 Recession and Resection |
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11 | (1) |
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12 | (1) |
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12 | (1) |
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12 | (1) |
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13 | (10) |
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3.1 Small-Angle Neonatal Esotropia |
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13 | (1) |
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13 | (1) |
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13 | (1) |
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3.1.3 Clinical Evaluation |
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13 | (1) |
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13 | (1) |
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14 | (2) |
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14 | (1) |
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14 | (1) |
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3.2.3 Preoperative Evaluation |
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14 | (1) |
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14 | (2) |
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3.2.5 Prognosis of Congenital ET |
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16 | (1) |
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3.3 Ciancia's Syndrome (Cross-Fixation Congenital Esotropia) |
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16 | (2) |
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16 | (1) |
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17 | (1) |
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3.3.3 Preoperative Evaluation |
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17 | (1) |
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17 | (1) |
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3.4 Infantile Accommodative Esotropia |
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18 | (3) |
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18 | (1) |
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18 | (1) |
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3.4.3 Clinical Evaluation |
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18 | (1) |
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18 | (3) |
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3.5 Other Issues on Infantile Esotropia |
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21 | (1) |
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21 | (1) |
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3.5.2 Esotropia, Latent Nystagmus, and Face Turn |
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21 | (1) |
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3.5.3 Older Children and Adults with Infantile Esotropia |
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22 | (1) |
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3.5.4 Inferior Oblique Overaction |
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22 | (1) |
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3.5.5 Dissociated Strabismus: Dissociated Vertical Deviation and Dissociated Horizontal Deviation |
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22 | (1) |
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22 | (1) |
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23 | (6) |
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4.1 Accommodative Esotropia |
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23 | (4) |
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23 | (1) |
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23 | (1) |
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4.1.3 Clinical Evaluation |
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23 | (1) |
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23 | (1) |
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4.1.5 Responses to Hypermetropic Correction |
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24 | (1) |
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4.1.6 Surgery for Partially Accommodative Esotropia |
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25 | (1) |
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4.1.7 Miotics for Accommodative Esotropia |
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26 | (1) |
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4.1.8 Postoperative Management of Partially Accommodative Esotropia |
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26 | (1) |
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4.2 Non-accommodative Acquired Esotropia |
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27 | (1) |
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27 | (1) |
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4.2.2 Differential Diagnosis |
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27 | (1) |
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27 | (1) |
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27 | (1) |
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27 | (1) |
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27 | (1) |
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27 | (1) |
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4.4.1 Clinical Evaluation |
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27 | (1) |
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28 | (1) |
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28 | (1) |
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29 | (6) |
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5.1 Intermittent Exotropia |
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29 | (5) |
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29 | (1) |
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29 | (1) |
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5.1.3 Clinical Evaluation |
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29 | (1) |
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5.1.4 Nonsurgical Treatment |
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29 | (2) |
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5.1.5 High Hypermetropia with Exotropia |
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31 | (1) |
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5.1.6 Preoperative Evaluation |
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31 | (1) |
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31 | (1) |
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5.1.8 Classification of Intermittent Exotropia |
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31 | (2) |
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5.1.9 Intermittent Exotropia: Oblique Overaction and A and V Patterns |
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33 | (1) |
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5.1.10 Postoperative Management |
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33 | (1) |
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34 | (1) |
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34 | (1) |
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34 | (1) |
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34 | (1) |
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34 | (1) |
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34 | (1) |
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6 Torticollis, Nystagmus, and Incomitant Strabismus |
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35 | (6) |
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6.1 Torticollis: Compensatory Head Posturing |
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35 | (3) |
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6.1.1 Strabismic Torticollis |
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35 | (3) |
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6.2 Torticollis and Nystagmus |
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38 | (1) |
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6.2.1 Correcting Strabismus Associated with Nystagmus and Face Turn |
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38 | (1) |
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6.3 Manifest Latent Nystagmus with Esotropia and Face Turn |
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39 | (1) |
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39 | (1) |
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6.4 Vertical and Torsional Head Posturing for Nystagmus |
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39 | (1) |
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6.4.1 Chin Elevation (Eyes are Down) |
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39 | (1) |
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6.4.2 Chin Depression (Eyes Are Up) |
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39 | (1) |
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6.4.3 Nystagmus with Head Tilt |
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39 | (1) |
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6.5 Nystagmus Without a Face Turn |
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39 | (1) |
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40 | (1) |
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41 | (12) |
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41 | (2) |
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7.1.1 Duane's Syndrome Type 1 (Esotropia) |
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41 | (1) |
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7.1.2 Duane's Syndrome Type 2 |
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42 | (1) |
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7.1.3 Duane's Syndrome Type 3 (Exotropia) |
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42 | (1) |
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7.1.4 Duane's Syndrome with Upshoot and Downshoot |
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43 | (1) |
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7.1.5 Synergistic Divergence |
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43 | (1) |
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7.2 Congenital Fibrosis Syndrome |
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43 | (1) |
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44 | (1) |
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7.3 A-Patterns, V-Patterns, and Oblique Overaction |
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44 | (1) |
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7.4 Dissociated Strabismus Complex (DVD and DHD) |
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44 | (1) |
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44 | (1) |
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45 | (1) |
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7.5.1 Treatment: Hypotropia (Tight Inferior Rectus Muscle) |
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45 | (1) |
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46 | (2) |
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46 | (1) |
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7.6.2 Congenital Brown's Syndrome |
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46 | (1) |
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7.6.3 Acquired Brown's Syndrome |
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46 | (1) |
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7.6.4 Canine Tooth Syndrome |
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46 | (2) |
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7.7 Double Elevator Palsy (Monocular Elevation Deficit Syndrome) |
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48 | (1) |
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48 | (1) |
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48 | (1) |
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7.8 Orbital Floor Fracture |
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48 | (1) |
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7.8.1 Tight Inferior Rectus, Restricted Elevation |
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49 | (1) |
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7.8.2 Pseudoinferior Rectus Palsy, Limited Depression |
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49 | (1) |
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7.9 Strabismus Associated with Local Anesthetic Injection |
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49 | (1) |
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7.10 High Myopia and Esotropia |
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50 | (2) |
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7.10.1 Bilateral Myopia and Esotropia |
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50 | (1) |
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7.10.2 Heavy Eye Syndrome |
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50 | (2) |
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52 | (1) |
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53 | (10) |
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8.1 Superior Oblique Palsy |
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53 | (4) |
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53 | (1) |
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8.1.2 Parks Three-Step Test |
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53 | (1) |
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8.1.3 Head Tilt Test Made Easy |
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53 | (1) |
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8.1.4 Unilateral Versus Bilateral Superior Oblique Paresis |
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54 | (1) |
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8.1.5 Congenital Superior Oblique Palsy |
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55 | (1) |
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8.1.6 Traumatic Superior Oblique Paresis |
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56 | (1) |
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8.1.7 Other Causes of Superior Oblique Paresis |
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56 | (1) |
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8.1.8 General Treatment Guidelines for Superior Oblique Paresis |
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56 | (1) |
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57 | (2) |
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57 | (1) |
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57 | (1) |
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8.2.3 Good Lateral Rectus Function |
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58 | (1) |
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8.2.4 Fair Lateral Rectus Function |
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58 | (1) |
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8.2.5 Poor Lateral Rectus Function |
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58 | (1) |
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59 | (1) |
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8.3.1 Surgery for Complete Third Nerve Palsy (Exotropia and Hypotropia) |
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59 | (1) |
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8.4 Inferior Oblique Paresis |
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59 | (1) |
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59 | (1) |
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8.4.2 Right Congenital Inferior Oblique Palsy |
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60 | (1) |
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60 | (3) |
Part II Surgical Techniques |
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63 | (10) |
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63 | (1) |
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63 | (1) |
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9.3 Subconjunctival Fascia |
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64 | (2) |
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9.3.1 Muscle Pulley System: Muscle Sleeve |
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64 | (2) |
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66 | (1) |
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67 | (5) |
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67 | (1) |
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67 | (1) |
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68 | (1) |
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69 | (1) |
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70 | (1) |
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71 | (1) |
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9.6 Vascular Supply and Anterior Segment Ischemia |
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72 | (1) |
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72 | (1) |
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10 Basic Surgical Techniques (Dos and Don'ts) |
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73 | (14) |
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73 | (1) |
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10.2 Preventing Infection |
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73 | (1) |
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74 | (2) |
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74 | (1) |
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10.3.2 Fornix or Cul-de-Sac Incision |
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75 | (1) |
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75 | (1) |
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10.3.4 Combination Fornix-Swan Incision |
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75 | (1) |
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10.4 Hooking a Rectus Muscle |
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76 | (1) |
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77 | (1) |
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10.6 Muscle Suturing Techniques |
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77 | (2) |
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10.6.1 Wright Grooved Hook |
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79 | (1) |
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79 | (2) |
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10.7.1 Black Needle for Scleral Pass |
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80 | (1) |
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10.8 Pearls for Muscle Recession |
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81 | (1) |
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10.8.1 Central Muscle Sag |
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81 | (1) |
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81 | (1) |
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10.9 Forced Duction Testing |
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82 | (3) |
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82 | (1) |
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83 | (2) |
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85 | (2) |
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11 Rectus Muscle Recession |
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87 | (16) |
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87 | (1) |
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11.1.1 Surgical Technique |
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87 | (1) |
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87 | (2) |
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11.2.1 Surgical Technique |
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87 | (1) |
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87 | (2) |
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89 | (1) |
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11.4 Vertical Rectus Muscle Recession |
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90 | (13) |
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11.4.1 Superior Rectus Muscle |
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90 | (1) |
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11.4.2 Inferior Rectus Muscle |
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91 | (1) |
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11.4.3 Lower Lid Retractor Disinsertion |
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92 | (11) |
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12 Topical Anesthesia Strabismus Surgery |
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103 | (4) |
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12.1 Principles for Avoiding Pain |
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103 | (1) |
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12.2 Topical Anesthesia Technique for Rectus Muscle Recession |
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104 | (2) |
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106 | (1) |
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13 Adjustable Suture Technique |
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107 | (12) |
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107 | (1) |
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13.2 Initial Anesthesia Considerations |
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107 | (1) |
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107 | (3) |
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13.3.1 Limbal Versus Fornix Approach |
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108 | (1) |
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13.3.2 Limbal Approach: Sliding Noose Technique |
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108 | (2) |
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13.3.3 Fornix Approach: Sliding Noose Technique |
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110 | (1) |
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110 | (1) |
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13.4 Pearls for Postoperative Adjustment |
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110 | (3) |
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110 | (2) |
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13.4.2 Anticipating Postoperative Drift |
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112 | (1) |
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113 | (1) |
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13.6 Preventing Late Overcorrection |
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113 | (5) |
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118 | (1) |
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14 Rectus Muscle Tightening Procedures |
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119 | (8) |
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14.1 Rectus Muscle Resection |
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119 | (1) |
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14.2 Single-Suture Resection: Fornix Approach |
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119 | (4) |
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14.3 Double-Suture Resection |
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123 | (1) |
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14.4 Wright Plication: Rectus MuscleScleral Plication (Vessel Sparing) |
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123 | (1) |
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14.5 Left Medial Rectus Plication: Fornix Incision |
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124 | (1) |
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125 | (2) |
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15 Horizontal Rectus Muscle Offsets and the Y-Splitting Procedure |
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127 | (4) |
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15.1 Horizontal Rectus Muscle Transpositions for A and V Patterns |
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127 | (1) |
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15.2 Horizontal Rectus Muscle Transpositions for Vertical Strabismus |
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127 | (1) |
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15.3 Rectus Muscle Transpositions for Torsion |
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128 | (1) |
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15.4 Y-Splitting of the Lateral Rectus Muscle for Duane's Retraction Syndrome |
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128 | (3) |
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16 Transposition Surgery for Rectus Muscle Palsy |
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131 | (4) |
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131 | (1) |
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131 | (2) |
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16.3 Hummelsheim Procedure |
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133 | (1) |
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16.3.1 Modifications of Transpositions |
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133 | (1) |
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134 | (1) |
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134 | (1) |
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17 Inferior Oblique Muscle Weakening Procedures |
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135 | (12) |
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17.1 Quantification of Inferior Oblique Overaction |
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135 | (1) |
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17.2 Indications for Surgery |
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135 | (1) |
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17.3 Making Procedural Choices |
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135 | (1) |
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17.4 Anteriorization Procedure |
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136 | (2) |
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17.4.1 Graded Recession: Anteriorization |
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137 | (1) |
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17.4.2 "J" Deformity Anteriorization |
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137 | (1) |
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17.4.3 Effect of Inferior Oblique Weakening on Horizontal Deviation |
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138 | (1) |
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138 | (1) |
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17.5.1 Inferior Oblique Anteriorization, Left Eye |
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138 | (1) |
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138 | (1) |
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17.5.3 Extirpation/Denervation of the Inferior Oblique Muscle |
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138 | (1) |
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138 | (8) |
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146 | (1) |
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18 Superior Oblique Tendon Tightening Procedures |
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147 | (14) |
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18.1 Physiology of Superior Oblique Tendon Tightening Procedures |
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147 | (1) |
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147 | (1) |
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18.1.2 Harada-Ito Procedure |
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147 | (1) |
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18.2 Surgical Techniques: Isolation and Exposure of the Superior Oblique Tendon |
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148 | (1) |
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18.3 Harada-Ito Procedure |
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148 | (6) |
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18.3.1 Disinsertion Harada-Ito Technique |
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148 | (5) |
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18.3.2 Classic Harada-Ito Technique |
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153 | (1) |
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18.4 Full-Tendon Superior Oblique Tuck |
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154 | (1) |
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18.5 Superior Oblique Tendon Plication |
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154 | (7) |
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19 Superior Oblique Tendon Weakening Procedures |
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161 | (10) |
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19.1 Surgical Exposure for Superior Oblique Tendon Weakening |
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161 | (1) |
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19.1.1 Operative Procedure: Temporal IncisionNasal Tendon Surgery |
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162 | (1) |
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19.2 Superior Oblique Tenotomy |
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162 | (1) |
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19.3 Silicone Tendon Expander (Wright Procedure) |
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162 | (1) |
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19.3.1 The Superior Oblique Silicone Tendon Expander |
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162 | (1) |
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19.3.2 Operative Procedure |
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162 | (1) |
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19.4 Split Tendon Elongation |
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163 | (1) |
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164 | (1) |
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164 | (5) |
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169 | (2) |
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20 Faderi Operation (Posterior Fixation Suture) |
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171 | (6) |
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171 | (1) |
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20.2 Indications for Faden Operation |
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171 | (1) |
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20.2.1 Sixth Nerve Paresis |
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172 | (1) |
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172 | (1) |
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172 | (1) |
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172 | (1) |
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20.3.1 Faden with Rectus Recession |
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172 | (1) |
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20.3.2 Faden Without Recession |
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172 | (1) |
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172 | (5) |
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21 Reoperation Techniques |
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|
177 | (10) |
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21.1 Muscle Dehiscence: Lost Muscle, Slipped Muscle, and Stretched Scar |
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177 | (2) |
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177 | (1) |
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178 | (1) |
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178 | (1) |
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21.2 Surgery for a Lost Medial Rectus Muscle |
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179 | (1) |
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21.3 Surgery for Stretched Scar |
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180 | (1) |
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21.4 Pearls for Reoperation: Rectus Dehiscence |
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180 | (1) |
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21.5 Strabismus After Retinal Detachment Surgery |
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181 | (1) |
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21.5.1 Causes of Strabismus |
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181 | (1) |
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21.5.2 Surgical Approach for Strabismus After Retinal Detachment Surgery |
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|
181 | (1) |
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21.6 Pearls for Strabismus After Retinal Detachment Surgery |
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182 | (1) |
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21.7 Amniotic Membrane Transplant for Restrictive Strabismus |
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183 | (2) |
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21.7.1 Surgical Technique |
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184 | (1) |
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185 | (2) |
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22 Minimally Invasive Strabismus Surgery |
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|
187 | |
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22.1 Central Muscle-Sclera Plication |
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187 | (1) |
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187 | (2) |
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|
189 | |
Appendix A: Surgical Numbers |
|
181 | (12) |
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|
191 | (1) |
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|
191 | (1) |
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|
192 | (1) |
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|
192 | (1) |
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A.5 Kestenbaum Procedure for Nystagmus |
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|
192 | (1) |
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A.5.1 Face Turn to the Right |
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|
192 | (1) |
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|
192 | (1) |
Appendix B: Anesthesia |
|
193 | (2) |
Appendix C: Instruments for Muscle Surgery |
|
195 | (2) |
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C.1 Instruments for Muscle Surgery |
|
|
195 | (1) |
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|
195 | (1) |
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C.3 Magnification Light Source |
|
|
195 | (2) |
Appendix D: Postoperative Care |
|
197 | (2) |
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|
197 | (1) |
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|
197 | (2) |
Index |
|
199 | |