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Strabismus -  Pulley displacement Lecture 8 of 54  NEXT»

The pulley explanation makes sense, but how do I proceed clinically without imaging to confirm pulley displacement?

You cannot evaluate pulley locations without imaging the orbits of the patient.  If you proceed clinically without imaging the orbits, you are merely guessing about the pathology.  If MRI is not available, direct coronal CT scanning can provide sufficient information to locate the rectus pulleys for clinical purposes.

 - Joseph L. Demer, M. D. 


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