| CASE REPORT |
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| Year : 2019 | Volume
: 57
| Issue : 3 | Page : 233-236 |
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Augmented inverse knapp procedure with inferior rectus plication – A treatment option for large hypertropia
Sandra C Ganesh, DS Srushti, Easha Ramawat, Kalpana Narendran
Department of Pediatric Ophthalmology and Strabismus, Aravind Eye Hospital, Coimbatore, Tamil Nadu, India
Correspondence Address:
Dr. D S Srushti
No. 21, Department of Pediatric Ophthalmology and Strabismus, Aravind Eye Hospital, Coimbatore, Tamil Nadu
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/tjosr.tjosr_42_19
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In this case report, we present a novel surgical technique of combining horizontal recess–resect procedure with an inverse Knapp procedure and augmenting the desired effect using augmentation sutures. Apart from improvement in the field of binocular vision, this procedure had the added advantage of preserving the anterior ciliary circulation by involving not more than two rectus muscles (inferior rectus plication being a vessel-sparing procedure). This could be a helpful option in large hypertropia with negative forced duction/generation test (for vertical recti).
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