Strabismus Surgery Guide, adjust per your outcomes

BINOCULAR STRABISMUS SURGERY

 

Esotropia

Medial Rectus OU Recession

15 Δ     3.0 mm

20 Δ     3.5 mm

25 Δ     4.0 mm

30 Δ     4.5 mm

35 Δ     5.0 mm

40 Δ     5.5 mm

50 Δ     6.0 mm

60 Δ     6.5 mm

70 Δ     7.0 mm

 

Esotropia

Lateral Rectus OU Resection

15 Δ     3.5 mm

20 Δ     4.5 mm

25 Δ     5.5 mm

30 Δ     6.0 mm

35 Δ     6.5 mm

40 Δ     7.0 mm

50 Δ     8.0 mm

 

Exotropia

Lateral Rectus OU Recession

15 Δ     4.0 mm

20 Δ     5.0 mm

25 Δ     6.0 mm

30 Δ     7.0 mm

35 Δ     7.5 mm

40 Δ     8.0 mm

50 Δ     9.0 mm

 

Medial Rectus OU Resection

15 Δ     3.0 mm

20 Δ     4.0 mm

25 Δ     5.0 mm

30 Δ     5.5 mm

35 Δ     6.0 mm

40 Δ     6.5 mm

 

 

MONOCULAR STRABISMUS SURGERY

 

Esotropia

Medial Rectus Recess        Lateral Rectus Resect

15 Δ     3.0 mm                              3.5 mm

20 Δ     3.5 mm                             4.0 mm

25 Δ     4.0 mm                             5.0 mm

30 Δ     4.5 mm                             5.5 mm

35 Δ     5.0 mm                             6.0 mm

40 Δ     5.5 mm                             6.5 mm

50 Δ     6.0 mm                             7.0 mm

60 Δ     6.5 mm                             7.5 mm

70 Δ     7.0 mm                             8.0 mm

 

Exotropia

Lateral Rectus Recess         Medial Rectus Resect

15 Δ     4.0 mm                             3.0 mm

20 Δ     5.0 mm                             4.0 mm

25 Δ     6.0 mm                             4.5 mm

30 Δ     6.5 mm                             5.0 mm

35 Δ     7.0 mm                             5.5 mm

40 Δ     7.5 mm                             6.0 mm

50 Δ     8.0 mm                             6.5 mm

 

 (Marshall Parks with adjustments by Kenneth Wright)

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