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Recession Fast

Recession of the medial rectus is a measured retroplacement of the muscle from its original insertion. A recession weakens function by changing the attachment site of the muscle on the eyeball. Once the muscle has been identified, a stitch is placed through the muscle. The muscle is cut from the surface of the eye and stitched back to the eye in a new—weaker location.

Eye muscle resection is where the muscle is cut from its site of attachment; a small portion of the muscle is removed and then the shortened muscle is reattached to its original placement. In a recession procedure, your eye surgeon detaches the affected outside muscle (extraocular muscle) from the eye and reattaches it (resection) farther back on the eye to weaken the relative strength of the muscle if it is too strong. Muscles of the eye.

Inferior oblique (IO) weakening procedures are self-adjusting; different amounts of deviation can be corrected surgically with the same method. Surgical procedures, including myectomy, myotomy, recession, total extirpation, disinsertion, denervation, and IO muscle fixation, can successfully weaken the IO muscle. The inferior oblique is the only extraocular muscle to have its anatomic origin in the anterior orbit.

Recession of the inferior rectus muscle is an established treatment for vertical strabismus. The most common indications are contralateral inferior rectus recession in cases of superior oblique paresis, and ipsilateral inferior rectus recession in cases with limited elevation, secondary to thyroid orbitopathy. A recession weakens function by changing the attachment site of the muscle on the eyeball.

Superior oblique posterior tenectomy (SOPT) was proposed first in 1976 to correct A-pattern strabismus. SOPT aims to weaken the abduction effect in downgaze through partial cutting the posterior fibers of superior oblique, and induce clinically insignificant changes in torsion by leaving the anterior fibers intact.

The recession of the medial rectus is a measured retroplacement of the muscle from its original insertion. It is the easiest and most effective way of weakening the medial rectus and is the most commonly performed procedure in strabismus management. If a recession is planned for a particular muscle, a suture is placed in the tendinous portion of the muscle, and the muscle is removed from its attachment to the sclera.