Principles and management of complex strabismus

Abstract

All strabismus cases require a thorough diagnostic approach, but some cases are unusually complex and those are the focus of this chapter. Some diagnoses may seem straightforward on initial impression, but due to incomplete information, complexities are overlooked, and outcomes are unsuccessful. Methodical acquisition of information combined with careful observation is the key to success. Complex cases are less daunting if they are approached methodically, and enough time is allotted to obtain an adequate history and complete exam. It may not be possible to achieve the full range of ocular motion in every patient, but just about every eye can be centered and many can have restoration of functional motility. © 2009 Springer Berlin Heidelberg.