The aim of eye muscle surgery is to restore alignment of the visual axes and ocular stability. Albeit compensatory and largely empirical, this surgery can be perfected with a better understanding of the physiopathological mechanisms involved, more detailed semiological analysis, the taking into account of intraoperative data and the use of microsurgical technique. The three parts of this book allow each of these factors to be discussed at length.

This comprehensive atlas and textbook on strabismus surgery and its complications provides complete instruction for the surgical management of the strabismus patient. The text is lavishly illustrated with artwork and photographs, and supported by sample references.

Strabismus can be devastating to patients, yet often difficult to treat, even for the most seasoned veteran. The Atlas of Strabismus Surgery, Fourth Edition clearly and succinctly shares with the reader strategies and surgical techniques to improve the care of patients, starting with the simple basics and progressing to more complicated procedures. Updated from the successful third edition, the atlas is designed for resident ophthalmologists and experienced strabismologists alike. Complete with hundreds of color illustrations, The Atlas of Strabismus Surgery, Fourth Edition covers the management of a wide range of strabismus disorders, from the relatively simple horizontal strabismus, to the complex cyclo-vertical deviations.

Written mainly for pediatric ophthalmologists and strabismologists, but also of great value to trainees, this text guides the reader through the thought processes needed for successful management of strabismus. Through the repeated use of icons, all material is designated as either basic, advanced, important points, pearls, or myths, and there is frequent use of case presentations from the author’s consultation files. Strabismus - Practical Pearls Not Found in Textbooks. starts where the other standard texts leave off. It contains a distillation of the many practical “pearls” that Dr. Kushner has accumulated and shared with residents and fellows over a 40 year career with a tertiary care practice in strabismus. It describes the nuances in decision-making with a discussion of pros and cons of many treatment approaches and hypothesis and attempts to simulate the experience of spending time in clinic with a seasoned mentor who is passionate about teaching.

The significant progress in the understanding of the pathogenesis and the treatment of Graves’ orbitopathy (GO) has warranted a second edition of this book within three years of the first. Now also fully incorporated is the EUGOGO consensus statement on management of GO, which since has been accepted worldwide as a useful guideline. Furthermore all chapters have been thoroughly updated. Subjects covered include the pathology of GO and the controversial views on its pathogenesis; assessment of changes using reliable measuring techniques; medical management of GO including established and alternative treatment options; technical explanations and illustrations of various surgical procedures and finally, the molecular, immunologic, and clinical aspects of this complex disorder. Two new chapters have been added: one describing the socioeconomic impact of the disease and the other outlining the Amsterdam Declaration on Graves’ Orbitopathy. The successful question-and-answer format facilitates its use as a reference guide for medical practitioners and surgeons working in the fields of ophthalmology, internal medicine, endocrinology, pediatrics, immunology, as well as otorhinolaryngology.

A unique how-to guide on surgical management of strabismus from top experts in the field! Strabismus correction is the third most common ophthalmic surgery in the US, with 1.2 million procedures performed each year. Strabismus Surgery: Innovative and Classic Approaches by renowned pediatric ophthalmologist Irene H. Ludwig provides comprehensive coverage of strabismus treatment – featuring state-of-the-art techniques based on recent anatomical research and discoveries. Throughout the text and accompanying videos, an impressive group of contributors share clinical pearls and firsthand knowledge. Recent research shows that strabismus has a mechanical etiology more frequently than previously thought, and that by directly correcting the mechanical defects, more targeted correction is possible than with traditional approaches. Accordingly, the book is organized by mechanism rather than strabismic deviations and patterns. Presented in four parts, each of which is further delineated by sections, this unique textbook includes 36 chapters starting with the fascinating history of strabismus surgery and concluding with future possible treatments. Key Highlights New surgical techniques designed to correct muscle displacements and muscle defects related to abnormalities of the extraocular muscle pulleys and intermuscular bands Recognition and repair of stretched scar and flap tear A section dedicated to CNS-related causes of strabismus discusses state-of-the-art surgical approaches for conditions including nystagmus and cranial nerve palsies A comprehensive summary of injection techniques using botulinum toxin and bupivacaine to correct strabismus, particularly in otherwise inoperable conditions Over ninety strabismus surgery videos demonstrate a full spectrum of basic to advanced techniques Remarkable illustrations beautifully capture the complex anatomy of the eye muscles and pulleys The mechanistic approaches described in this outstanding resource will help trainees and seasoned ophthalmologists achieve more precise and lasting results.

Thirty years ago, our attention was drawn to the alphabetical incom itances in strabismus. As an elevation in adduction is the most frequent incomitance, we decided to start treating these incomitances. A weak ening procedure of the inferior oblique muscle seemed indicated. How ever, since we wanted to prevent a torsional overcorrection with a head tilt, we displaced the scleral insertion of the oblique muscle towards the equator of the globe. This way, the torsional action of the muscles is saved. A weakening of the horizontal rectus muscles was systematically added, making it a simultaneous horizontal and cyclovertical surgery. Our way to deal with strabismus developed into a coherent entity and the interest of colleagues encouraged us to write it down.We decided to publish a textbook with a theoretical and an extensive practical part. Our approach is based on thirty years of exclusive strabological work, half-time academic and half-time private practice. More than 6500 re sults were analysed and the majority have been published. The con cerned publications are referred to at the end of the first chapter. Private practice allowed to benefit from the fact that patients were operated on by the same surgeon and remained in personal contact during follow-up.

Introducing a text that provides guidance for the clinician in the assessment and management of all forms of strabismus in both adults and children. Focusing on clinical management, this text puts into perspective modern diagnostic tests, and discusses the range of treatments available once a case of strabismus has been evaluated. Covers both standard and innovative surgical techniques through the use of color intraoperative photographs. Also discusses principles of surgical management and the different surgical procedures commonly used in the management of these complex problems.

This atlas provides the latest information on diagnosis, surgical planning and techniques in the area of pediatric ophthalmology and strabismus, based on the authors' clinical experience. Written in an easy to follow, step by step format - as if the reader were assisting at surgery.

When a child has a health problem, parents want answers. But when a child has cerebral palsy, the answers don't come quickly. A diagnosis of this complex group of chronic conditions affecting movement and coordination is difficult to make and is typically delayed until the child is eighteen months old. Although the condition may be mild or severe, even general predictions about long-term prognosis seldom come before the child's second birthday. Written by a team of experts associated with the Cerebral Palsy Program at the Alfred I. duPont Hospital for Children, this authoritative resource provides parents and families with vital information that can help them cope with uncertainty. Thoroughly updated and revised to incorporate the latest medical advances, the second edition is a comprehensive guide to cerebral palsy. The book is organized into three parts. In the first, the authors describe specific patterns of involvement (hemiplegia, diplegia, quadriplegia), explain the medical and psychosocial implications of these conditions, and tell parents how to be effective advocates for their child. In the second part, the authors provide a wealth of practical advice about caregiving from nutrition to mobility. Part three features an extensive alphabetically arranged encyclopedia that defines and describes medical terms and diagnoses, medical and surgical procedures, and orthopedic and other assistive devices. Also included are lists of resources and recommended reading.