Strabismus Surgery Simulation in Combination with Clinical Experience

This chapter discusses the utilization of biomechanical modelsBiomechanical model, such as SEE++SEE++, to simulate pathological situations in strabismusStrabismus surgeryStrabismus surgery. The SEE++SEE++ system employs a “Reference EyeReference eye” with default parameter values of a healthy patient, facilitating simulations of deviations from this healthy state. Surgical goals include restoring functional binocular alignmentBinocular alignment to achieve comfortable binocular single vision. However, realigning both eyes in extreme gaze positions poses challenges, with total “healing” achievable only under normal sensory conditions. The chapter emphasizes the importance of preoperative evaluationPreoperative evaluation, including measuring misalignment and planning surgery based on individual databases and computer simulations. Surgical techniques such as recession, resection, plication and transposition aim to modify muscle mechanics to achieve alignment. Additionally, it discusses specific surgical procedures like recession, resection, plication and transposition, detailing the techniques involved and considerations for each approach. Overall, the chapter provides insights into the complexities of strabismusStrabismus surgeryStrabismus surgery planning and execution, emphasizing the importance of integrating clinical experience with simulation-based techniques for optimal outcomes.