====== Procedures to Enhance Excyclotorsion ======
  * Oblique Surgery
    * Superior Oblique Tenotomy
      * weakens incyclotorsion effects of the superior oblique muscle
      * also treats vertical deviations and causes esoshift shift in down-gaze
      * [[https://childrenseye.org/filerun/FileRun/wl/?id=ScUqvnc0y8DiLN9wQGFhYD0hdh8JBubw|Superior Oblique Tenotomy: Indications and Complications. Scott, Jampolsky and Redmond]]
      * [[https://childrenseye.org/filerun/FileRun/wl/?id=oPX7lXupD8Kr0zYTy1IlvRuS4MlhGqDS|Surgery of the Superior Oblique Scott and Kraft]]
    * Inferior Oblique Anterior lateral transposition
      * Advance insertion above superior border of lateral rectus 
      * {{:enhance_excyclotorsion_del_monte.png?400|}}
      * Del Monte, MA, Scobee Memorial Lecture 2001, American Orthoptic Journal 2002;52:40-57
  * Vertical Rectus Surgery
    * Superior Rectus- tertiary action is incyclotorsion 
      * Nasal Transposition 
      * Recession
        * Effect will be small unless the muscle is tight (i.e. Graves disease)  
    * Inferior Rectus
      * Inferior Rectus Temporal Tranposition  
      * Resection: Small effect
  {{::vertical_rectus_surgery_to_increase_excyclotorsion.png?300|}}\\

{{tag>strabismus_surgery}}