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This book is based on a series of lectures on strabismus given to residents at the Manhattan (NY) Eye, Ear, and Throat Hospital by Richards. The author states that this volume is not intended to be a comprehensive reference book or just a picture atlas of strabismus surgery. However, for readers with some knowledge of the appropriate anatomy and some familiarity with strabismus problems, the book gives a useful outline of Richards' approach to the (mainly) surgical treatment of strabismus.
In general, the author describes procedures and techniques that are careful and conservative and that are probably representative of the practice of most experienced strabismus surgeons. However, as might be expected, differences of opinion do exist in some areas. For example, the Harada-Ito procedure is stated to be the most commonly indicated procedure for the treatment of bilateral superior oblique palsy. Some surgeons prefer to weaken the inferior oblique muscles
Fricker SJ. A Text and Atlas of Strabismus Surgery. Arch Ophthalmol. 1992;110(7):924-925. doi:10.1001/archopht.1992.01080190030015