A preliminary report of 40 cases of strabismus microsurgery.

OBJECTIVE

To improve the quality of strabismus surgery and to find out the role of microsurgery in the field of strabismus.

METHODS

We performed separation and preservation of anterior ciliary vessels (ACV), adjustable sutures, routine rectus recession, and oblique muscle surgeries under microscope in 13 cases of comitant strabismus, 19 cases of A-V syndrome and 8 cases of paralytic strabismus.

RESULTS

Surgeries were performed in a very clear field under microscope. We successfully did vascular microdissection and ACV preservation. Also with the use of microscope, various kinds of strabismus microsurgery videos were recorded.

CONCLUSIONS

Microscopic technique can be used to enhance the quality and accuracy of strabismus surgery and to reduce surgical damage, postoperative inflammatory reaction and scar formation. All kinds of strabismus surgery , especially, oblique muscles and complex paralytic operations can be performed under microscope.