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Related Experiment Video

Updated: Jun 12, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025

One muscle strabismus surgery.

Lihua Wang¹, Leonard B Nelson

¹Department of Ophthalmology, Provincial Hospital affiliated to Shandong University, Jinan, Shandong Province, P.R. China.

Current Opinion in Ophthalmology

|June 10, 2010

Summary

This summary is machine-generated.

One muscle strabismus surgery is a safe and effective treatment for small-to-moderate horizontal deviations. This approach offers predictability and preserves options for future interventions.

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Area of Science:

Ophthalmology
Strabismus Surgery
Ocular Motility

Background:

The use of unilateral muscle surgery for strabismus has historically been debated.
Concerns included potential undercorrections and induced ocular incomitance.

Purpose of the Study:

To review current literature on single-muscle strabismus surgery.
Focus on its efficacy for small-to-moderate angle horizontal deviations.

Main Methods:

Literature review of recent evidence.
Analysis of unilateral lateral rectus recession for exotropia.
Analysis of unilateral medial rectus recession for esotropia.
Analysis of unilateral rectus resections for specific strabismus types.

Main Results:

Recent evidence supports unilateral rectus muscle surgery as safe, effective, and predictable.
The procedure is suitable for small-to-moderate angle horizontal deviations.
Specific examples include exotropia, esotropia, and convergence/divergence insufficiency.

Conclusions:

Unilateral rectus muscle surgery is a reliable treatment for horizontal strabismus.
It is a primary or alternative approach, limiting surgery to one eye.
This approach preserves muscles for potential future surgeries.