Abstract
The two most useful rectus muscle tightening procedures are the rectus muscle resection and the rectus muscle plication. Rectus muscle tucking has not proven reliable, as it tends to loosen over time. A tuck is a muscle-to-muscle union. Because the muscle fibers are longitudinal and the transverse fibers are weak, the sutures tend to pull out and slip. The rectus muscle plication, however, involves securing posterior muscle to sclera, and this procedure is as stable as a resection.
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References
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Leenheer RS, Wright KW. Mini-plication to treat small-angle strabismus: a minimally invasive procedure. J AAPOS. 2013;17:337. Letters to the editor: Reply: To PMID 22929447.
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Wright, K.W., Strube, Y.N.J. (2015). Rectus Muscle Tightening Procedures. In: Color Atlas Of Strabismus Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1480-7_14
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DOI: https://doi.org/10.1007/978-1-4939-1480-7_14
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4939-1479-1
Online ISBN: 978-1-4939-1480-7
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