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In this video from AAO 2020 Virtual, Dr. Federico Velez summarizes pearls from the session on strabismus during Pediatric Ophthalmology Subspecialty Day.

Vertically incomitant pattern strabismus is used to describe the type of strabismus wherein the amount of horizontal deviation changes during the excursion of the eye from upgaze to downgaze. The pathophysiology of this phenomenon is multifactorial and has been attributed to factors including oblique muscle dysfunction, horizontal or vertical recti anomaly, displacement of muscle pulleys, and orbital anomalies.

In this presentation from the Pediatric Ophthalmology Subspecialty Day 2019, Dr. Joseph Demer discusses the biomechanical basis for the weakening and explains the z-tenotomy operation.

In this presentation from the Pediatric Ophthalmology Subspecialty Day 2019, Dr. Edward Buckley discusses the management of recurrent exotropia.

Surgical correction for adult strabismus is occurring at an increased rate, as noted in a study comparing surgical rates between 2000 and 2014. Understanding the impact that strabismus has on patient function, independence, safety, and sense of well-being is as integral to care as understanding the evaluation and solutions that benefit their lives.

Intermittent exotropia is the most common form of strabismus, characterized by an intermittent outward deviation of the eyes. It affects as much as 1% of the population and most often presents in childhood, affecting females more than males.

In this surgical video, we demonstrate adjustable medial transposition of split lateral muscle using four fornix conjunctival incisions, one in each quadrant.

This study assessed whether age at time of surgery for intermittent exotropia correlates with outcomes at 3 years.

This simulator expands on the basic Strabismus Simulator, allowing the exploration of more complex eye deviations such as the alphabet patterns, cranial nerve palsies, DVD, DHD, and Brown syndrome.