Keystones for Success: How Preoperative Sensorimotor Testing and Postoperative Sensorimotor Manipulations Can Save Your Patient (and You)!

Abstract

This workshop will employ the principles of our prior symposium to utilize the nuances of preoperative and postoperative sensorimotor management to achieve maximal patient outcomes. Scheduled to appear: Monte Del Monte, Ed Buckley, David Weakley, Rich Freeman, Kyle Arnoldi, Erika Castro, Ginny Karlsson. Intraoperative muscle manipulation is often the easiest component in the treatment of strabismus. Careful interpretation and collection of preoperative sensorimotor tests can be the difference between a successful and a failed surgical plan. A detailed understanding of the sensorimotor system and the use of appropriate interventions can snatch victory out of the jaws of postoperative defeat. This multidisciplinary panel will share tips and pearls from previous surgical successes and failures. Topics will include: When is prism adaptation helpful? When is postoperative diplopia desirable and when is it unacceptable? How can you use prisms in free space as well as the synoptophore to help guide surgical plans? What techniques are available to enhance fusional amplitudes in the postoperative patient? When can sensorimotor evaluations assist in the timing and implementation of reoperation? What additional surprises may appear in patients with neurologic disease? These evaluations and interventions go to the heart of where much of strabismus really lies—the complex interaction between the sensory and motor systems. Paying attention to how many millimeters to move a muscle without assessing proper sensory motor data is like Colorado without fresh snow; the results just aren’t as good as they could be. Panel discussion will ensue and audience participation will be encouraged.