Use of Posterior Fixation Sutures (Myopexy) to Expand Binocularity: Indications and Limitations

Intractable diplopia is not a rare complication of either paretic or restrictive limitation in extra ocular motility. The primary goal of muscle surgery is to achieve binocularity in primary position and down reading gaze. To maximize the area of binocular, patients may be treated with surgery to limit the motility of the better moving eye. The Posterior fixation suture is an effective means of limiting motility