1st Edition

The Wills Eye Strabismus Surgery Handbook

By Leonard Nelson, Alex Levin Copyright 2015

    Although residents and pediatric ophthalmology fellows examine patients in the clinic, they may not be involved in surgery on the same patients and even less often get to follow the progress of these patients postoperatively. The Wills Eye Strabismus Surgery Handbook is designed to address this challenge in residency and fellowship education as a manual focused on developing surgical plans for strabismus patients.
     
    Drs. Leonard B. Nelson and Alex V. Levin and their contributors have organized The Wills Eye Strabismus Surgery Handbookto allow for the reader to take notes regarding their own diagnosis and treatment plan for each case that is presented. This workbook style and its practical, easy-to-read format make this resource useful for written and oral board preparation, and as a handy reference guide for use long after exams are over.
     
    Each chapter presents an introduction into the decision-making process for a specific strabismus condition, followed by the surgical plans selected by three expert Wills Eye Strabismus Center strabismologists with regard to their approach to the presented case.
     
    Summary remarks by the chapter editor briefly review the basic concepts in developing a diagnosis and treatment plan while bringing together the varied opinions offered by the strabismologists in order to put them in context.
     
    Topics covered include:

    • Strabismus surgery decision making
    • Esotropia
    • Exotropia
    • Dissociated vertical deviation
    • Cranial nerve palsies
    • Strabismus syndromes
    • Strabismus in systemic disease
    • Reoperations
    • Nystagmus
    • Other complex strabismus cases
     
    The Wills Eye Strabismus Surgery Handbook is an essential resource for residents and pediatric ophthalmology fellows, as well as other ophthalmologists, looking to develop their surgical planning skills. It is a helpful field guide for any ophthalmologists who does strabismus and who is looking for a handy addition to their reference shelf.
     

    Acknowledgments

    About the Editors

    Contributing Authors

    Preface

    Foreword by Stephen P. Kraft, MD, FRCSC

    Abbreviations

    Chapter 1 Approach to Strabismus Surgery Decision Making

    Leonard B. Nelson, MD, MBA

    Chapter 2 Esotropia

    Scott Olitsky, MD

    Chapter 3 Exotropia

    Daniel T. Weaver, MD

    Chapter 4 Dissociated Vertical Deviation

    Sepideh Tara Rousta, MD

    Chapter 5 Cranial Nerve Palsies

    Mary O'Hara, MD

    Chapter 6 Strabismus Syndromes

    Mark A. Steele, MD

    Chapter 7 Strabismus in Systemic Disease

    Miles J. Burke, MD

    Chapter 8 Other Complex Strabismus Cases

    Kammi Gunton, MD

    Chapter 9 Reoperations

    Rudolph S. Wagner, MD

    Chapter 10 Nystagmus

    Leonard B. Nelson, MD, MBA

    Financial Disclosures

    Index

    Biography

    Leonard B. Nelson, MD, MBA, received a BA in biology from Columbia University and his MD from Harvard Medical School. Following a surgical internship at Harvard, he completed his ophthalmology residency at New York University Bellevue Hospital Medical Center. He went on to complete a 1-year fellowship in Pediatric Ophthalmology at the Children’s National Medical Center and a 1-year fellowship in ocular genetics at the Wilmer Institute. He obtained his MBA at St. Joseph’s University. Dr. Nelson is the Director of the Strabismus Center and the Co-Director of the Pediatric Ophthalmology and Ocular Genetics Department at Wills Eye Hospital.
     
    Alex V. Levin, M.D., MHSc, FAAP, FAAO, FRCSC, was a child abuse pediatrician following completion of a pediatric residency at the Children’s Hospital of Philadelphia. He then completed an ophthalmology residency at Wills Eye Hospital in Philadelphia, followed by a pediatric ophthalmology fellowship at The Hospital for Sick Children in Toronto, where he returned to become a professor in the Departments of Pediatrics, Genetics and Ophthalmology and Vision Sciences at the University of Toronto while working as a staff ophthalmologist at The Hospital for Sick Children for over 16 years. There he was the Fellowship Director for 15 years and, with his colleagues, started the Strabismus Nights, which became the inspiration for this book. He is one of fewer than 10 double-boarded pediatrician-pediatric ophthalmologists in the world. In 2001, he obtained his master’s degree in bioethics. In 2008, he returned to Wills Eye Hospital as the Chief of Pediatric Ophthalmology and Ocular Genetics.