Refuting The Polemic Against the Extraocular Muscle Pulleys: Jampel and Shi’s Platygean View of Extraocular Muscle Mechanics

摘要

Background Late in the 20^th Century, it was recognized that connective tissue structures in the orbit influence the paths of the extraocular muscles, and constitute their functional origins. Targeted investigations of these connective tissue “pulleys” led to the formulation of the active pulley hypothesis, which proposes that pulling directions of the rectus extraocular muscles are actively controlled via connective tissues.