A randomized comparison of surgical procedures for infantile esotropia.
In a prospective, randomized, masked study we compared the treatment of infantile esotropia using bilateral medial rectus muscle recessions of a graded amount from the insertion to standard 10.5-mm recession from the corneoscleral limbus. Of the patients undergoing recession of the medial recti muscles 10.5 mm from the corneoscleral limbus, 33 of 39 (84%) achieved a final ocular alignment within 10 prism diopters of straight with one operation, compared to 26 of 41 (63%) of the patients undergoing a graded recession from the insertion. The difference was significant (.01 less than P less than .05 by the chi-square test).
D002986:Clinical Trials as Topic; D003315:Cornea / Q000473:pathology; D004948:Esotropia / Q000473:pathology / Q000601:surgery*; D005099:Exotropia / Q000209:etiology; D006801:Humans; D007223:Infant; D009801:Oculomotor Muscles / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications; D011897:Random Allocation; D012086:Reoperation; D012590:Sclera / Q000473:pathology; D013285:Strabismus / Q000601:surgery*