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    Medial Rectus Recession with Wright Hook

    By Kenneth W. Wright, MD
    Pediatric Ophth/Strabismus

    Dr. Ken Wright performs a left medial rectus recession for the correction of esotropia in a 40-year-old patient. Dr. Wright demonstrates the use of the grooved Wright hook, which is drawn beneath the medial rectus muscle. The hook allows for easy suturing of a security knot and locking bites on either edge of the muscle for 3-point fixation. The tendon is then cut flush to sclera, and the muscle is splayed to its full width and reinserted closer to its origin using intrascleral sutures. Video adapted from Pediatric Ophthalmology and Strabismus (Oxford University Press, 2012).