Bilateral lateral rectus resection for residual esotropia.
OBJECTIVE
Residual or recurrent esotropia is a common problem following bilateral medial rectus recessions for esotropia, and various surgical techniques have been advocated. We have favored bilateral lateral rectus resections.


METHODS
We reviewed our results in 25 patients, aged 7 to 89 months (mean 27 months), with a follow-up of 7 to 95 months (mean 39 months) following the second surgery. Survival analysis was used, with success (survival) defined as alignment within 10 PD at last follow-up.


RESULTS
Median survival was 84 months with an estimated mean survival of 55 months. There are 15 of 25 patients (60%) currently successful. There were 8 undercorrections and 2 overcorrections. Three patients, included among those not successful, required a third procedure. Survival was similar to previous reports of primary esotropia and consecutive exotropia.


CONCLUSIONS
Our results suggest that bilateral lateral rectus resection is a reasonable surgical option in the treatment of residual esotropia following recessions of both medial recti.
Gunasekera
L S
LS
Department of Ophthalmology and Lions Eye Institute, Albany Medical College, Albany, New York 12208, USA.
Simon
J W
JW
Zobal-Ratner
J
J
Lininger
L L
LL
D002648:Child; D002675:Child, Preschool; D004948:Esotropia / Q000503:physiopathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D009801:Oculomotor Muscles / Q000503:physiopathology / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D016019:Survival Analysis; D016896:Treatment Outcome; D015348:Vision, Binocular / Q000502:physiology; D014792:Visual Acuity / Q000502:physiology