الفهرس 
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Abstract
As with all medical disciplines, the goal of every surgeon is to perform surgery that is minimally invasive, in order to reduce the risk of unwanted complications and a poor postoperative appearance, and to increase patient comfort and satisfaction.
Although steps have been taken to improve the technique and some authors have certainly suggested alternative methods of conducting strabismus surgery, the majority of surgeons still use the traditional limbal approach to surgery, which was first described by Harms in 1949 and later popularized by Von Noorden.
In 2007 Dr. Daniel S. Mojon who works at Kantonsspital, St. Gallen, Switzerland, described a new technique, which allows surgeons to perform minimally invasive strabismus surgery (MISS). He aimed at decreasing postoperative ocular inflammation as lid edema, conjunctival injection and chemosis, thus enhancing both patient and surgeon’s comfort and satisfaction.
This study was undertaken to compare the new MISS and the traditional limbal approach strabismus surgery in correction of horizontal strabismus regarding postoperative ocular alignment and ocular inflammation.
The study involved 22 patients came to Suez Canal University hospital with concomitant horizontal strabismus. The patients were divided randomly into two groups according to the surgical technique performed; patients who underwent MISS and patients who underwent limbal approach strabismus surgery.
Patients of the two groups were submitted for follow up visits at 1st day, 1st week, and 1st month to evaluate postoperative ocular alignment and ocular inflammation.
The study revealed that both techniques achieve the same ocular alignment after surgery in both study groups, but MISS achieved much lesser postoperative ocular inflammation as compared to the traditional limbal approach. Also no intraoperative or postoperative complications were recorded in both study groups.
from these results we concluded that both MISS is a good available alternative of the traditional limbal approach which achieves a successful ocular alignment with lesser postoperative ocular inflammation.