Transposition of plicated horizontal muscles.

Area of Science:

• Ophthalmology
• Surgical Techniques
• Strabismus Correction

Background:

• Simultaneous correction of horizontal and vertical strabismus presents surgical challenges.
• Current methods often involve horizontal muscle transposition with recession and resection.

Purpose of the Study:

• To describe a novel surgical technique for correcting combined horizontal and vertical strabismus.
• To present initial results of this technique in a case series.

Main Methods:

• A novel surgical approach combining horizontal rectus muscle plication with vertical transposition was developed.
• The technique was applied to patients with combined horizontal and vertical strabismus.

Main Results:

• The described surgical technique successfully corrected both horizontal and vertical deviations.
• A small case series demonstrated the efficacy of the combined plication and transposition method.

Conclusions:

• Horizontal rectus muscle plication combined with vertical transposition is a viable technique for managing complex strabismus.
• This novel approach offers a new option for simultaneous correction of horizontal and vertical eye misalignments.