Abstract

Although the modern trend is for symmetrical surgery on the horizontal extraocular muscles, there are situations where asymmetrical surgery is indicated, e. g. (1) monocular squint with amblyopia or (2) a small deviation. The effect of asymmetrical vertical muscle surgery on the prism cover measurements in the cardinal positions of gaze is well known, owing to the fundamental contributions of the Duane-White school. However, there seems to be little specific information concerning the effect of operations on one or both horizontal recti of one eye on the prism cover measurements in all positions of gaze. It is the purpose of this paper to report 161 cases of this latter type, with a view to making better selections of the proper muscle for horizontal muscle surgery on one eye. In a series of squint cases I have been following at the Illinois Eye and Ear Infirmary there were 161 cases that

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