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Article
July 1968

The Limbal Approach to Surgery of the Rectus Muscles

Author Affiliations

Baltimore
From the Wilmer Ophthalmological Institute, The Johns Hopkins University School of Medicine, Baltimore.

Arch Ophthalmol. 1968;80(1):94-97. doi:10.1001/archopht.1968.00980050096016
Abstract

V ARIOUS techniques have been described for exposing the rectus muscles in strabismus or retinal detachment surgery. Most of these methods consist of direct or indirect transconjunctival incisions anterior or posterior to the muscle insertion or are in the fornix. Tenon's capsule is opened and closed separately from conjunctiva or is not closed at all in most of these procedures. Each of these methods has its advantages and disadvantages, but each is somewhat short of an ideal technique that is technically simple and minimally traumatic, provides quick access to the muscle, and yields a perfect cosmetic result soon after surgery.

Such an ideal technique has already been described in recent years,1-5 but it has, in my opinion, not found the general acceptance that it deserves. This paper will illustrate the limbal approach in strabismus surgery and will report on the favorable experiences with this method at the Wilmer Institute

References
1.
Zugsmith, G.S.:  A New Approach to Surgery of the Inferior Oblique Muscle , Amer J Ophthal 47:667-673 ( (May) ) 1959.
2.
Cortes, V.M.:  Nueva incision conjunctival para la operacion de estrabismo , Arch Chilenos Oftal 14:54-56, 1962.
3.
Massin, M., and Hudelo, J.:  L'incision de la conjonctive au limbe dans les opérations pour strabisme et pour décollement de rétine , Ann Oculist 195:995-1003 ( (Oct) ) 1962.
4.
Moreno de Mulet, E.I.:  Limbic Incision in Strabismic Surgery , J Ped Ophthal 1:25-26, 1964.
5.
de Decker, W.:  Bindehauteröffnung am Limbus , Klin Mbl Augenheilk 151:76-79 ( (Aug) ) 1967.
6.
Duke-Elder, S., and Wybar, K.C.: " The Anatomy of the Visual System ," in Duke-Elder, S. (ed.): System of Ophthalmology , St. Louis: The C. V. Mosby Co., 1961, vol 2, p 543.
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