title: Slanted medial rectus recession is effective in the treatment of convergence excess esotropia.
abstract: OBJECTIVE
  To evaluate the surgical outcomes of slanted medial rectus recession in patients diagnosed as having convergence excess esotropia.
  
  
  METHODS
  Bilateral slanted recession of medial rectus muscles was performed in 16 patients with convergence excess esotropia. The lower margins of medial rectus muscles were recessed 1 to 2 mm more than the upper margins. Changes in near-distance disparity of the deviations were recorded.
  
  
  RESULTS
  The mean preoperative near-distance disparity of 20.3±6.5 prism diopters (PD) decreased to 4.37±5.6 PD postoperatively. The amount of collapse was significant (mean: 16 PD; P<.005). Near-distance disparity of 10 PD or less was obtained in 14 patients after surgery (87.5%), except 2 patients who had 16 PD of disparity. The authors did not encounter overcorrection except in 1 patient in whom minimal exophoria at distance and near with the glasses was observed and reduced the prescription.
  
  
  CONCLUSIONS
  Bilateral slanted medial rectus muscle recession procedure effectively decreases the disparity between near and distance deviations in patients with convergence excess esotropia.
authors: Hüseyin
authors: H
authors: Bayramlar
authors: Cihan
authors: C
authors: Ünlü
authors: Yasar
authors: Y
authors: Dag
mesh_terms: D002648:Child; D002675:Child, Preschool; D004948:Esotropia / Q000601:surgery*; D005139:Eyeglasses; D005260:Female; D006801:Humans; D008297:Male; D015835:Ocular Motility Disorders / Q000601:surgery*; D009801:Oculomotor Muscles / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures