title: Bilateral lateral rectus recession for consecutive exotropia.
abstract: BACKGROUND
  Treatment of consecutive exotropia after bilateral medial rectus recessions has been rarely studied. Though several series have reported results of medial rectus advancement, none has described results of lateral rectus recessions.
  
  
  METHODS
  We reviewed our results in 31 patients who underwent bilateral lateral rectus recessions for consecutive exotropia after bilateral medial rectus recessions. Mean follow-up was 30 months (range, 1-140 months) after the exotropia repair.
  
  
  RESULTS
  At last follow-up, 20 of 31 patients (65%) had deviations of less than or equal to 10 PD. Limitation of adduction was not apparent.
  
  
  CONCLUSIONS
  Cooper's dictum states that lateral rectus recession should be performed instead of medial rectus advancement. Our results suggest that this approach is generally successful. The outcome after exotropia repair in consecutive deviations is comparable to that after repair of primary exotropia.
authors.affiliation: Lions Eye Institute and Department of Ophthalmology, Albany Medical College, Albany, New York, USA.
authors.forename: A S
authors.initials: AS
authors.lastname: Patel
authors.forename: J W
authors.initials: JW
authors.lastname: Simon
authors.forename: L L
authors.initials: LL
authors.lastname: Lininger
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005099:Exotropia / Q000503:physiopathology / Q000601:surgery*; D005133:Eye Movements / Q000502:physiology; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009801:Oculomotor Muscles / Q000503:physiopathology / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures; D012189:Retrospective Studies; D016896:Treatment Outcome