Mini-plication to treat small-angle strabismus: A minimally invasive procedure

摘要

To the Editor: We thank Dr. Romero-Apis for his thoughtful comments and for his attention to our work. We agree that our procedure and his previously published procedure do involve tightening of the central muscle fibers. Our procedure is not the same as the one he described because the central muscle is secured to the sclera. A plication is muscle to sclera and promotes stronger wound healing than a tuck, which is muscle to muscle. He is also correct that this procedure was designed to be performed under topical anesthesia and for smaller-angle strabismus; however, it need not be limited in this respect. It can be used in larger deviations to help tighten the antagonist of a recessed rectus muscle. We agree that this is an effective procedure and are thankful for international collaboration.