Transposition Surgery for Rectus Muscle Palsy


Transposition surgery is based on changing the location of the muscle insertion so the muscle pulls the eye in a different direction (i.e., changes the vector of forces). Transposition surgeries can be used to treat a rectus muscle paresis, a lost muscle, A and V patterns (Chapter 15), small vertical tropias (Chapter 15), and torsion (Chapter 15). Three transposition procedures will be described in this chapter: Knapp, Jensen, and Hummelsheim.


Rectus Muscle Lateral Rectus Inferior Rectus Muscle Insertion Intermuscular Septum 
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