![]() The limbs were extended by 1–2 mm, if needed. This resulted in a V-shaped cut, which opened into a crescent-shaped conjunctival incision with the apex or convexity toward the limbus and the muscle insertion enclosed in the limbs of the V. In the SSPLA, the conjunctiva was pinched up with the Pierce–Hoskins conjunctival forceps about 1–2 mm from the limbus with the Westcott scissors, a single snip was given on the conjunctiva, with the blades of the scissors pointing toward the muscle of interest, and the pivot abutting the lifted conjunctival flap. We designed a randomized controlled trial (RCT) and compared the single snip paralimbal approach (SSPLA) to the standard paralimbal approach (SPLA), the usual technique in our set-up, in strabismus cases qualifying for horizontal rectus muscle surgery in terms of postoperative inflammation, success rate, scarring, and duration of surgery. We planned our study to evaluate a rarely used single-snip conjunctival incision where the rectus muscle is approached by a single V-shaped incision, with the limbs away from limbus and the apex in the paralimbal area. Like other subspecialties of ophthalmology, strabismus surgery also strives to be less invasive and time efficient, permitting early ambulation, achieving better cosmesis and comfort postoperatively. The incisions have evolved from Harm's limbal approach, Park's fornicial approach, Velez's radial incision, Swan's incison, to the minimally invasive strabismus surgery (MISS) popularized by Mojon. They are planned preoperatively based on the expected extent of exposure needed for the specific surgery to achieve optimal cosmetic and functional results. Strabismus surgeries have also been involved in this transition, especially with regard to their conjunctival incisions. Ophthalmology too has vastly evolved from the conventional surgeries to the small-sized phacoemulsification, minimally invasive glaucoma surgeries, and sutureless vitreo-retinal surgeries. ![]() Less invasive surgeries have gained popularity in different specialties with the advantages of causing lesser disruption of anatomy, often being quicker, healing rapidly, and providing better cosmesis and a more comfortable postoperative outcome. ![]()
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