I am a firm believer in conservative surgery and advocate careful operative interference only in suitable cases after all other means, e. g., the use of proper lenses, prism exercises, or fusion training, have failed to accomplish the desired results, to wit: cosmetic straightening of the eyes, parallelism of the optic axes, fixation, establishment of binocular single vision, and in phorias, obtaining the normal balance. I do not intend to discuss the many excellent non-operative methods of treating or aiding these cases, but in this paper I presuppose that all of these have failed, and turn in proper cases to operative procedures as a last resort.
I think that an advancement, alone or combined with a tenotomy, is practically always to be preferred to a tenotomy alone. An external ocular muscle is seldom too strong, the rotation of an eye rarely exceeds the normal, but in squint and heterophoria, defective
STEVENSON MD. DESCRIPTION OF AN ADVANCEMENT SUTURE.WITH COLLECTIVE SUGGESTIONS REGARDING OPERATIONS ON THE OCULAR MUSCLES. JAMA. 1905;XLV(11):764–769. doi:10.1001/jama.1905.52510110020001c
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: