title: Treatment of age-related distance esotropia with unilateral lateral rectus resection.
abstract: OBJECTIVE
  To report the results of a series of patients who underwent lateral rectus resection of a single muscle using nonadjustable sutures to correct acquired concomitant esotropia (age-related distance esotropia).
  
  
  METHODS
  The medical records of patients with symptomatic age-related distance esotropia who were treated by unilateral lateral rectus resection were retrospectively reviewed. Pre- and postoperative near and distance prism diopter measurements were compared.
  
  
  RESULTS
  The average age of the patients was 79.8 years (range, 68-90 years). The mean lateral rectus resection was 4.9 ± 1.3 mm. All patients had complete resolution of diplopia after surgery. Median distance esotropia measurements in primary gaze were reduced from 16.0(Δ) preoperatively to 0(Δ) postoperatively (P < 0.005) at final follow-up. Any preoperative near esotropia was also completely resolved.
  
  
  CONCLUSIONS
  In this patient cohort, age-related distance esotropia was effectively managed solely with unilateral lateral rectus resection.
authors.affiliation: Royal Liverpool University Hospital, Liverpool, UK. Electronic address: sohraab@doctors.org.uk.
authors.forename: Sohraab
authors.initials: S
authors.lastname: Yadav
authors.affiliation: Royal Liverpool University Hospital, Liverpool, UK.
authors.forename: Jane
authors.initials: J
authors.lastname: Young
authors.affiliation: Royal Liverpool University Hospital, Liverpool, UK.
authors.forename: Claire
authors.initials: C
authors.lastname: Voas-Clarke
authors.affiliation: University Hospital Aintree, Liverpool, UK.
authors.forename: Ian B
authors.initials: IB
authors.lastname: Marsh
authors.affiliation: Royal Liverpool University Hospital, Liverpool, UK.
authors.forename: Jon M
authors.initials: JM
authors.lastname: Durnian
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000502:physiology*; D004172:Diplopia / Q000503:physiopathology; D004215:Distance Perception / Q000502:physiology*; D004948:Esotropia / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D009801:Oculomotor Muscles / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D012189:Retrospective Studies; D013536:Suture Techniques; D015348:Vision, Binocular / Q000502:physiology; D014792:Visual Acuity / Q000502:physiology