With 479 Figures and 40 Tables

Professor of Ophthalmology and Pediatrics

Chief of Ophthalmology

6701 Fannin

Houston, TX 77030

USA and

Chief of Ophthalmology

2401 Gilham Road

Kansas City, MO 64108

Professor of Ophthalmology and Pediatrics

University of Missouri – Kansas City School of Medicine and Clinical Associate Professor of Ophthalmology

Library of Congress Control Number: 2007922497

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To our wives, Evelyn and Andrea and our children Madeline, Rosalind, Jenna, Ellie and Peri. Thank you for your support, commitment and understanding, which helped us through the entire publication process.

Strabismus Surgery and its Complications is divided into two distinct sections. Part I outlines the surgical management of strabismus in 17 chapters. A full range of topics is covered including basic anatomy and physiology, surgical planning, preoperative and postoperative management, and surgical techniques. Surgical techniques are described in dedicated chapters, each richly illustrated with figures and photographs. Detailed descriptions of the basic steps of surgery as well as surgical nuances are provided. The figures and figure legends are designed to stand alone as basic surgical instruction for the surgeon who has experience with the surgical management of strabismus. More detailed instruction is available in the text for those wanting elaboration. Chapters on the use of botulinum toxin in the management of strabismus and on the medical management of strabismus conclude Part I of the textbook.

Part II reviews a wide range of surgical complications, both common and uncommon, in 15 chapters. Most published reports on complications related to strabismus surgery consist of case reports or small case series. An attempt has been made to compile these numerous reports into the concise pages of this textbook in a user-friendly format, to create a single source reference on strabismus surgery complications. Advice on how to avoid and how to manage complications of strabismus surgery is provided based on evidence-based medicine where available. Consensus and/or common sense advice is provided where evidence-based medicine is not available. A chapter on managing patients with atypical and unexpected anatomical features and a chapter on the medicolegal aspects of strabismus surgery are included. The textbook is extensively referenced and indexed to facilitate rapid identification and review of desired information. Cross-reference is made throughout each chapter to other chapters containing related information.

A DVD is provided containing video footage of basic surgical techniques to compliment the information on surgical techniques provided in Part I of the textbook. The DVD also contains electronic copies of all photographs and illustrations that are unique to this textbook, divided by chapters. The owner of this textbook and DVD is free to use these photographs and illustrations in lectures and other nonpermanent teaching mediums provided that this textbook is cited as their source. Materials that were used with the permission of others has not been included on the DVD as the publisher does not have the right to authorize use of materials provided by others for use exclusively in this textbook.

David K. Coats and Scott E. Olitsky

Two well-known strabismologists present in this book their combined experience and philosophy of the surgical treatment of strabismus. In doing so they have, whenever possible, shied away from unfounded hypotheses and speculation, and relied on clinical evidence instead. If such is unavailable, a common sense approach is taught. Certain variations notwithstanding, the surgical techniques demonstrated in this volume represent the current state of the art. The reader will welcome this information and enjoy the clear illustrations.

However, it is the second part, dealing with surgical complications, that sets this book apart from other recently published texts. Instructions on how to manage a complication effectively and, more importantly, how to prevent some by avoiding certain pitfalls during the preoperative work-up of a patient are widely dispersed in the literature and not always easily located. The authors have succeeded in collecting this information and presenting it comprehensively and in an easily accessible format. This book fills a void and is a welcomed addition to the ophthalmic literature.

Gunter K. von Noorden, MD

Professor of Ophthalmology and Pediatrics

Houston, Texas

Part I Surgical Management of Strabismus