We present a randomised, controlled study of a new approach to conjunc
tival incision in horizontal strabismus surgery, A peritomy is perform
ed from 2 to 10 o'clock inferiorly allowing free access to the horizon
tal recti from below, No limbal stay sutures are required and the conj
unctiva is left unsutured on completion of surgery. Results of 13 pati
ents are presented, Each patient is paired with a control on whom conv
entional surgery was performed. The pairs were matched for age and sur
geon, Results show a decrease in the time taken for the procedure and
decreased discomfort in the post; operative period, The external appea
rance of the operated eye and the incidence of complications over a 6
week period were the same for both techniques.