Seven-millimeter bilateral medial rectus recessions in infantile esotropia.
Thirty-six patients with large angle infantile esotropia averaging 74 prism diopters underwent 7-mm bilateral medial rectus recessions by the cul-de-sac approach. Successful horizontal alignment with the initial procedure when measured at the most recent follow-up examination (average 18.2 months postoperatively) was achieved in 27 patients (75%). Five patients (14%) were undercorrected and four patients (11%) were over-corrected. The advantages of the method, as opposed to three or four muscle procedures, are that it is quicker, simpler, and a less traumatic procedure which leaves the lateral rectus muscles unoperated for future surgeries if necessary. This is effective even in very large angle congenital esotropia.
Weakley
D R
DR
University of Texas, Southwestern Medical Center, Department of Ophthalmology, Dallas 75235.
Stager
D R
DR
Everett
M E
ME
D002675:Child, Preschool; D004948:Esotropia / Q000151:congenital* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D009801:Oculomotor Muscles / Q000601:surgery*; D011379:Prognosis; D015348:Vision, Binocular