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Abstract from the results of this study, it can be concluded that the muscle tucking technique is an easy alternative to resection that can be used on horizontal muscles especially when anterior ciliary vessels sparing is needed. The muscle tucking has the same effect as resection as obvious by the similar success rate. Its stability is good and is comparable to the resection. It has the advantages of sparing the anterior ciliary vessels which makes it a tempting choice of surgery in patients with dysthyroid ophthalmopathy, blood dyscrasias, carotid artery disease and with those patients who had previous muscle surgery involving other horizontal or vertical recti i.e. patients with a risk of developing anterior segment ischemia. It also eliminates the possibility of muscle slippage, which makes it convenient for residents or surgeons not familiar with strabismus surgery. It reduces bleeding and cauterization during surgery and eliminates surgically induced A-V pattern. The procedure is also potentially reversible within the first few days of surgery. The unsightly muscle bulk that is produced by this technique disappears within three months of surgery. The degree of the angle of squint corrected by each mm. tucking is the same as corrected by each mm. resection. The complications of the technique are few and comparable for resection. It can be seen that muscle tucking presents an easy, stable, safe technique that can replace resection under certain circumstances where there is risk of anterior segment ischemia or muscle slippage. |