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Thirty years ago, Gobin and Bierlaagh developed the simultaneous
horizontal and cyclovertical strabismus surgery that became a
recognized, albeit much debated method, but no manual on the
subject was available until now. The book is aimed at
ophthalmologists interested in strabismus. It is also intended for
orthoptists, in view of the importance of examining ocular
motility. Although the ophthalmologist remains responsible for the
surgical indication, the active participation of the orthoptist is
advantageous. The analysis of incomitances of the eye movements is
discussed extensively, as it is the keystone of simultaneous
surgery. For the same reason, great attention is given to the
surgical indications. The chapter on oculomotor disturbances is
completed with a series of examples of the most common motility
disorders and the indications for their surgical treatment. Surgery
is covered in detail. Primary surgery is discussed in the same
section as surgery for under and overcorrection.Since a correct
sequence of the different surgical acts is essential for a smooth
intervention, the technique of operating rectus as well as oblique
muscles is presented in a clear, step-by-step manner. The last
chapter deals with the complications such as limitation of duction,
postoperative diplopia and the change in palpebral fissure. The
book contains approximately 380 black and white illustrations in
270 figures and 94 colour plates, illustrating surgical techniques.
The work is based on an analysis of more than 6500 cases.
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