Background: It has been our impression that adult patients with strabismus frequently delay surgical intervention. Objectives: To determine the length of time adult patients waited before undergoing strabismus surgery and to determine the reasons why these delays occurred. Design, Setting, and Participants: Prospective survey of consecutive patients who delayed strabismus surgery for more than 1 year. Intervention: Preoperative survey. Main Outcome Measures: The primary outcome measure was time between the onset of strabismus and surgery and the reason why surgery had not been previously sought. Results: The mean age among 128 study participants was 45.7 years (age range, 18-86 years). The mean time

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Hyaluronidase may be more important than previously suspected in preventing anesthetic-related damage to the extraocular muscles. The inferior rectus muscle is particularly vulnerable, presumably because of the injection technique.

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