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The Limbal Approach to Surgery of the Rectus Muscles

The Limbal Approach to Surgery of the Rectus Muscles 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. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

The Limbal Approach to Surgery of the Rectus Muscles

Archives of Ophthalmology , Volume 80 (1) – Jul 1, 1968

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Publisher
American Medical Association
Copyright
Copyright © 1968 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1968.00980050096016
Publisher site
See Article on Publisher Site

Abstract

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.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jul 1, 1968

References