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The earliest successful strabismus surgery intervention is known to have been performed on 26 October 1839 by Johann Friedrich Dieffenbach on a 7-year-old esotropic child; a few earlier attempts had been performed in 1818 by William Gibson of Baltimore, a general surgeon and professor at the University of Maryland. [2]
One study found that botulinum toxin therapy had similar long-term success rates for treating infantile esotropia with botulinum toxin A before the age of 12 months as would have been expected from strabismus surgery. [10]
Strabismus surgery attempts to align the eyes by shortening, lengthening, or changing the position of one or more of the extraocular eye muscles. The procedure can typically be performed in about an hour, and requires about six to eight weeks for recovery.
The management of strabismus may include the use of drugs or surgery to correct the strabismus.Agents used include paralytic agents such as botox used on extraocular muscles, [1] topical autonomic nervous system agents to alter the refractive index in the eyes, and agents that act in the central nervous system to correct amblyopia.
Daniel Mojon (born July 29, 1963, in Bern, Switzerland) is a Swiss ophthalmologist and ophthalmic surgeon who is considered to be the inventor of minimally invasive strabismus surgery (MISS), a method of surgically correcting squinting that uses only very small incisions of two to three millimeters and is supposed to lead to quicker rehabilitation and wound healing.
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The technique's efficacy has been shown for surgery of the rectus muscles [10] [11] [12] as well as for the surgery of the oblique muscles. [13] A group from India reported on the successful performance of MISS in patients with Graves' orbitopathy. [14]