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The Harada-Ito procedure is a surgical technique primarily utilized to address specific ocular muscle disorders, particularly strabismus, which is the misalignment of the eyes. This procedure involves the recession of the lateral rectus muscle and the resection of the medial rectus muscle, aimed at correcting horizontal misalignment, commonly found in conditions such as esotropia (inward turning of the eye) and exotropia (outward turning of the eye). The essence of the Harada-Ito procedure lies in its ability to provide a more controlled and aesthetic correction of eye position compared to traditional methods. During the operation, the surgeon carefully dissects the muscles of the eye through a small incision made on the surface of the eye. The lateral rectus muscle, which is responsible for moving the eye outward, is temporarily detached from its insertion point on the eyeball and is moved backward, thus recessing it. This step reduces its pulling strength on the eye, allowing it to align more closely with the other eye. Conversely, the medial rectus muscle, which pulls the eye inward, is excised or resected to strengthen its effect, further aiding in aligning the eyes properly. One of the notable advantages of the Harada-Ito method is its ability to correct not only the primary strabismus angle but also to address the motor fusion capabilities of the eyes, leading to improved binocular vision in many patients. This procedure is especially beneficial for cases where conventional recession-resection techniques may not suffice or where there is a need for more precise adjustments. Utilizing the Harada-Ito technique often results in faster recovery times, reduced postoperative discomfort, and improved cosmetic outcomes. The patient is usually placed under general anesthesia, and once the muscles have been repositioned, the incision is closed with sutures, and the eye is covered with a protective shield. The goals of the procedure extend beyond mere alignment; they also focus on enhancing the patient's cosmetic appearance and overall quality of life by enabling better functionality of the eyes. Postoperatively, patients may experience some swelling and redness, but these symptoms typically resolve within a few days. Follow-up visits allow the surgeon to assess the alignment and function of the eyes, ensuring that the intended results have been achieved. As an effective surgical option for strabismus, the Harada-Ito procedure stands as a testament to the advancements in ophthalmic surgery, emphasizing precision, effectiveness, and favorable outcomes for those suffering from eye misalignment. Its innovative approach continues to benefit numerous patients, highlighting the crucial intersection of surgical technique and patient recovery in the field of ophthalmology .