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Published on: April 28, 2020
Small Deviations: Vertical, Horizontal, and Combined
1From the W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan.
Introduction And Purpose:
Symptomatic, small-angle strabismus is largely an acquired problem of adults that has previously been managed with prism spectacles. This paper will explore surgical options that are becoming increasingly popular.
Methods:
The special issues that confound surgical treatment of small-angle strabismus are considered. Surgical procedures described in the literature and in the author's experience that address these issues are reviewed.
Results:
Several recently described surgical techniques show promise for treatment of small-angle strabismus in adults. Their use is illustrated in a case report. Review of the author's practice shows a rapid increase in surgery for small-angle strabismus.
Conclusions:
Surgical strategies for small deviations are increasingly important to meet the spectacle-free expectations of our adult patients.
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