During the journey of this video we are describing four case scenarios for diagnosing & managing different pre –operative & intra-operative surgical tricks & pearls for budding strabismus surgeons. Careful pre operative clinical examination (includes horizontal incomitance, palpebral fissure widening on adduction, distance –near disparity clear) aided with neuro-imaging helps in deciding best surgical plan. Neuro-imaging helps in visualizing location of extraocular muscles, prolapsed soft tissue & associated area of orbital fracture in cases of trauma guiding further surgical approach. Intra-operative forced duction test (FDT) plays pivotal role to get an idea about complete release of entrapment. Meticulous dissection & identifying different color & texture of tissues (Stretched scar vs slipped muscle) helps to localize & secure muscle. Minimum handling of surroundings gives less scarring & good surgical outcome.
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