James L. Mims

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Sixty-one children with bilateral overaction of the inferior oblique muscle with concurrent or previous infantile esotropia received bilateral inferior oblique recessions with anteriorization to a point 2 to 4 mm anterior to the lateral end of the inferior rectus insertion. Subsequent reoperation for recurrent overaction of the inferior obliques was needed(More)
PURPOSE To evaluate the success rate of 5 mm resection of one medial rectus (MR) as the second surgery for intermittent exotropia of childhood after bilateral lateral rectus recessions and after unilateral lateral rectus recessions, and to propose a theory of how this surgery works. CASES The author performed a retrospective chart review of 10 years(More)
PURPOSE To assess the efficacy of lateral rectus resection with medial rectus recession in the affected eye of patients with Duane retraction syndrome (DRS) with esotropia and limited abduction, compared with bilateral medial rectus recessions. METHODS The charts of 9 patients with DRS who underwent a recession-resection procedure and 10 patients with DRS(More)
We measured horizontal saccadic velocities for 20 degrees saccades in 25 normal humans. Percent differences for various muscle pairs were calculated for each subject. For example, percent differences of the antagonist muscles averaged +4.9 +/- 10% and percent differences of symmetrical muscles averaged -9.2 +/- 9%. This percent difference type of data,(More)
BACKGROUND Unilateral and bilateral anterior transpositions of the inferior oblique muscle (ATIOs) for primary inferior oblique (IO) muscle overaction may produce apparent new or recurrent overaction of the contralateral IO muscle. This effect has been termed "antielevating" and can produce overaction of the contralateral elevators in adduction that mimics(More)
PURPOSE To study the outward deviation of the eyes (exoshift) under anesthesia, in a variety of clinical settings in order to improve our understanding of how medial rectus recessions change alignment and innervation. METHODS Pre-operative and intraoperative eye deviations were measured before surgery and under Stage 3 of general anesthesia using a(More)
Histoflnorometric techniques have confirmed that topical ocular application of 6-hydroxydopamine, a norepinephrine congener, causes a selective and reversible destruction of syynpathetic nerve terminals in the anterior segment. An investigation of the effects of "chemical sympatheclomy" on the pupil, intraocular pressure, and facility of outflow showed: the(More)