2022 AMI Online Salon

Surgical Procedure of Pediatric Strabismus Muscle Recession

Project Details

  • Entrant Name:  Julia Smithing
  • Client: A team of surgeons and medical professionals who are writing a textbook about pediatric ophthalmic surgeries
  • Copyright:  Julia Smithing and Augusta Univerisity, 2022
  • Medium/software used: Adobe Photoshop
  • Final presentation format: 4 plates of illustration printed in color on 8.5 x 11 inch premium glossy paper. The plated illustrations are designed for a surgical textbook and when placed in the text, would be broken up by plates to correlate with the text that each step depicts.
  • Primary Audience: Medical students and surgical residents who are learning and working on their rotations in pediatric ophthalmic surgery.

Project Description

The purpose of this illustration was to clearly depict the surgical procedure of a strabismus surgery where the lateral rectus muscle is moved back to relieve muscle tension. In this procedure, the length of the lateral rectus muscle was not reduced, it has only been recessed. Since strabismus surgeries can be performed in various ways, it was important that these plates clarify the locking suture pattern used, the distance of the needle entry from the original muscle insertion site, and the loose manner of tying the knot upon securing the muscle in place. Since these details were important and distinctive to the surgeon, they are demonstrated to the surgical residents reading the textbook. To ensure legibility, all labels are solid black. To aid in the understanding of images and minimize the colors used, the illustrations are on a white background, ensuring maximum contrast. Even though red and green are two dominant colors in this illustration, the two are not directly placed alongside one another and have satisfied a color-blindness stimulation test. The work is easy to understand in monochrome values since it is based on a black and white tonal drawing.