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SURGICAL TECHNIQUE
Year : 2019  |  Volume : 67  |  Issue : 2  |  Page : 264-266

Modified Faden operation –A new surgical technique


Dr. Agarwal's Eye Hospital, #19, Cathedral Road, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Manjula Jayakumar
Dr. Agarwal's Eye Hospital, #19, Cathedral Road, Chennai 86, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_952_18

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Faden operation was first described in 1912. It weakens the muscle in its field of action without much slackening and alteration in the primary position. When combined with recession the weakening effect is more. It is a useful surgery in esotropia with high accommodative convergence, nystagmus blockage syndrome, dissociated vertical deviation, Duane's retraction syndrome with up or downshoots, and in sixth nerve paresis, where it is performed on the contralateral normal yoke muscle to increase the field of binocular vision. The conventional procedure is cumbersome due to small working space, entanglement of sutures, and posterior location of Faden site which is not easily accessible. We have modified the Faden operation by using a single 5-0 double-armed polyester suture, which is much easier and simpler to perform, and have done it in a series of small angle esotropias combined with recession. This paper demonstrates the surgical technique so that this surgery can be performed with ease by more surgeons.


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