Strabismus

Preoperative esotropia 4 mo old

Preoperative esotropia 4 mo old

Postoperative as teenager by Dr Wright

Postoperative as teenager by Dr Wright

The Wright Center is world renowned as an elite referral center for the management of strabismus. Ophthalmologists both international and domestic send difficult case for treatment. We use the most advanced cutting-edge techniques. Many of the techniques used by strabismus specialists were developed by Dr. Wright.

Strabismus procedures and concepts pioneered by the Wright Center include:

  • Vertical Prism test for diagnosing amblyopia
  • Role of fat adherence in strabismus after retinal detachment surgery
  • In office test for effectiveness of penalization treatment for amblyopia
  • Very early surgery for infantile esotropia results in high grade stereo acuity and excellent eye alignment
  • Augmented surgery for partially accommodative esotropia
  • Wright Superior Oblique Tendon Expander improves outcomes for Brown’s syndrome and superior oblique over action
  • Graded anteriorization for inferior oblique over-action
  • Rectus muscle plication to preserve anterior segment circulation
  • Minimally invasive surgery for small angle strabismus – (central tenotomy and central plication)
  • Wright hook for topical anesthesia adjustable suture technique
  • Amniotic membrane transplant for restrictive strabismus
  • Harada Ito Plus for the management of torsional and vertical strabismus
  • Wright modification of the Hummelsheim procedure for parylitic srabismus

Minimally Invasive Strabismus Surgery

Dr. Wright has developed new minimally invasive techniques useful in the management of small angle strabismus previously only treated with prism glasses. In most cases these procedures can be performed using topical drops for anesthesia with the patient awake. To view a video of one of Dr. Wright’s minimally invasive eye muscle surgeries click on Central-Tenotomy video-icon.

Wright Grooved Hook for strabismus surgery

Most eye muscle hooks require pulling upon the muscle to gain access to the muscle insertion so surgery can be performed. Pulling up on a muscle ccan cause pain in the awake patient so for the most part eye muscle surgery has always been done with general anesthesia or an injection for local nerve block. Dr. Wright had developed and has a US patent on a new grooved muscle hook that allows muscle exposure without pulling up on the muscle. This hook made by Titan Surgical greatly facilitates eye muscle surgery and makes topical anesthesia strabismus surgery practical. To see Dr. Wright preforming strabismus surgery with the Wright grooved hook click on Rectus Recession video-icon or Inferior Oblique Anteriorization video-icon.

New titanium surgical instruments made by Titan Surgical shown below have been developed by Dr. Wright and help facilitate eye muscle surgery.

Wright Double Hook

Wright Double Hook

Wright Grooved Hook (US patent)

Wright Grooved Hook (US patent)