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Case of the week 4 ( October 2011
)
Huge Exotropia
Working on the sound eye
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It is usually a hard job to convince
such
patients that this huge XT will not be
corrected
without working on their seeing eye
. Adding one muscle from
the sound
eye to the surgical plan
usually gives satisfactory
results
A
lateral rectus recession of the sound Lt eye
was needed for perfect surgical correction
1. Before taking
the decision of working on the sound eye in a huge XT it
is the surgeon's responsibility to be sure that it is a comitant strabismus
2. Correction of this huge XT
could be achieved
by working only on the exotropic eye but this usually results in disfiguring incomitance
in extreme gazes due
to overwork on the MR or the LR
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الموقع المصري للحول
وامراض الجهاز الحركي للعين
The Egyptian Site of
Strabismus & Oculomotor Disorders