Approaches to strabismus reoperation

Abstract

Patients with strabismus who have undergone previous eye muscle or other extraocular or orbital surgery often present a challenge to strabismus surgeons. The general guidelines used in routine strabismus cases cannot always be applied to these patients and need to be strategically modified to assist in the preparation of an optimal surgical plan. A thorough knowledge of several key surgical principles or pearls can help guide the surgical decisionmaking process in these often complex and unpredictable situations.