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October 13, 1888

SECTION OR EXSECTION OF THE RECTUSIN THE TREATMENT OF PARALYTIC STRABISMUS, AND THAT DUE TO EXTREME OVER-CORRECTION WITH LOSS OF MOTION. Read in the Section on Ophthalmology at the Thirty-ninth Annual Meeting of the American Medical Association, at Cincinnati, May 7, 1888.

JAMA. 1888;XI(15):509-513. doi:10.1001/jama.1888.02400670005001a

The purpose of this paper is the presentation of a series of cases of irretrievable loss of power of either rectus, causing extreme paralytic deviation, the restoration of the equilibrium having been accomplished through section or exsection of the contracted muscle. Such cases are found in one of the four following classes:

1. Permanent atrophy or paralysis.

2. Irrecoverable loss of either rectus through accidental section of the muscle back of its capsular perforation.

3. Extreme over-correction of long standing, following tenotomy with excessive laceration of the capsule, permitting the retraction of the tendon back of the equatorial meridian, whence, owing to atrophy or adhesions it cannot be successfully advanced.

4. Irrecoverable traumatic dislocation of the rectus.

Cases belonging to the paralytic class are not very infrequent. The class of accidental section of the muscle in place of the tendon (formerly very large before the relations of the capsule were

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