Squint Surgery Rs 500
Horizontal Rectus Recession & Resection (Cul-de-Sac)
Instrumentation for Squint Surgery
Loop Myopexy for the Management of Strabismus-Fixus
Fosters Modification of Knapps Procedure for the Management of Double Elevator Palsy
Horizontal Rectus Recession & Resection (Cul-de-sac)
Author: Dr Ramesh Murthy
Year of publication: 2007
TRT: 13:34 min
Recession and resection of the horizontal recti muscles is the most common squint surgery. In this video we demonstrate the cul-de-sac approach, which is cosmetically better with quicker recovery as compared to other techniques.
Inferior Oblique Myectomy
Author: Dr Ramesh Murthy
Year of publication: 2007
TRT: 06:42 min
The only stumbling block in performing surgery on the inferior oblique is surgical localization and identification of the muscle. This video demonstrates an easy way of identifying this muscle and successfully approaching it.
Instrumentation for Squint Surgery
Author: Dr Ramesh Murthy
Year of publication: 2007
TRT: 07:32 min
An understanding of the instruments used in squint surgery is essential. In this video, we demonstrate the intricacies and uses of each instrument designed by Dr Eugene Helveston for the cul-de-sac approach to squint surgery.
Superior Oblique Tendon Tuck
Author: Dr Ramesh Murthy
Year of publication: 2007
TRT: 10:37 min
Superior oblique muscle surgery is one of the most technically challenging squint procedures. This video demonstrates a logical and stepwise approach to identifying and performing surgery on this muscle.
LoopMyopexy for the Management of Strabismus-Fixus
Author: Dr Ramesh Murthy, Dr Sunayana Hegde
Year of publication: 2008
TRT: 08:00 min
Purpose: To describe the management of acquired esotropia and hypotropia in myopic strabismus fixus by anchoring the superior and lateral rectus muscles along their physiological meridian with 4-0 polyester suture or silicon band Method: Medial displacement of the superior rectus and downward displacement of the lateral rectus is responsible for the acquired esotropia and hypotropia in strabismus fixus. Conventional management by recess resect procedure will usually give poor results. Using a non absorbable polyester suture the lateral rectus and superior rectus are secured to each other and the sclera in a plane midline to their normal course. A silicon band can also be used to change the course of the muscles. Results: Good results are noted postoperatively with improvement of the ocular alignment and the ocular motility with time. Conclusion: Loop myopexy is a physiological procedure for managing myopic strabismus fixus.
Fosters Modification of Knapps Procedure for the Management of Double Elevator Palsy
Author: Dr Ramesh Murthy, Dr Sunayana Hegde
Year of publication: 2008
TRT: 10:31 min
Purpose: To describe the management of double elevator palsy by using scleral fixation sutures to enhance the effect of muscle transposition Method: Following full tendon transposition of the medial and lateral rectus muscles close to the muscle insertion of the superior rectus along the spiral of Tillaux, the transposed muscles are fixed to the sclera taking a bite through the distal one third of the muscle using 4-0 ethibond sutures. The direction of the transposed muscle is therefore along the direction of the superior rectus. Results: Foster's modification results in enhancing the action of the lateral and medial rectus muscles increasing the vertical vector force. However there is no limitation of the horizontal ductions due to this modification Conclusion: Foster's modification of Knapp's procedure is an effective means of increasing the effect of muscle transposition in cases of double elevator palsy.