28.11.2012 Views

Consecutive exotropia - The Private Eye Clinic

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3. ‘GENERIC’ causes for consec XT<br />

?Wrong surgical dose for this case<br />

Surgical tables make MANY assumptions:<br />

� normal globe size<br />

bigger globe needs bigger surgery for same angular effect<br />

� normal globe shape<br />

prolate vs. oblate : egg-shaped – longer axis A-P or<br />

transverse<br />

� average muscle stiffness<br />

….many reasons why the ‘standard’ surgical<br />

dose may not be the best dose for this<br />

particular case<br />

Kowal MEACO 2009<br />

16

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