Innovative Techniques for the Treatment of Adult Strabismus
Stacy L. Pineles, MD; Federico Velez; Melinda Chang; Jonathan Holmes; Ramesh Kekunnaya; Seyhan Ozkan
University of California, Los Angeles
Los Angeles, CA
Purpose/Relevance: To introduce newer innovative techniques for the treatment of adult strabismus by a diverse panel in a case-based format.
Target Audience: Pediatric Ophthalmologists and Strabismus Specialists
Current Practice: Adult strabismus is often characterized by surgical complexity. Often strabismus surgeons rely on a limited armamentarium of classic surgical techniques learned in their fellowships, but a number of innovative techniques have been recently developed. Innovative techniques for the management of complex strabismus have been developed. Strabismus surgeons should understand the indications for various strabismus surgical techniques in the management of these difficult cases.
Best Practice: Newer techniques will be discussed and videos will be utilized wherever possible. Strabismus surgeons should understand the indications for various strabismus surgical techniques in the management of these difficult cases.|
Expected Outcomes: Participants will be able perform techniques described for the management of complex adult strabismus.|
Format: Case-based panel format with videos and descriptions of surgical techniques described by the innovator on the panel.
Summary: Six cases will be presented over the course of the workshop, which will frame our discussion regarding the surgical procedures that can be considered for this select group of patients. Techniques discussed may include the use of adjustable sutures in patients with scleral buckles, inferior rectus transposition, botulinum toxin as a replacement for traction sutures, anterior superior oblique plication, and extraocular muscle transplantation. Audience participation will be encouraged.
References: 1. Kim A, Nejad M, Pineles S, Chang M, Velez F. A modified technique for strabismus surgery in the presence of a scleral buckle. JAAPOS 2016; 20:376-8.
2. Bata BM, Leske DA, Holmes JM. Adjustable bilateral superior oblique tendon advancement for bilateral fourth nerve palsy. Am J Ophthalmol 2017; 178:115-121.