title: Surgical Results of Symmetric and Asymmetric Surgeries and Dose-Response in Patients with Infantile Esotropia.
abstract: OBJECTIVE
  To evaluate the results of symmetric and asymmetric surgery and responses to surgical amounts in patients with infantile esotropia.
  
  
  METHODS
  The records of patients with infantile esotropia who underwent bilateral medial rectus recession (symmetric surgery) and unilateral medial rectus recession with lateral rectus resection (asymmetric surgery) were analyzed. The results of the cases with symmetric (group 1) and asymmetric (group 2), successful (group 3) and failed (group 4) surgeries were compared, and responses to the amount of surgery were investigated.
  
  
  RESULTS
  There were no significant differences between group 1 (n=71) and group 2 (n=13) cases in terms of gender, refraction, preoperative distance deviation, anisometropia and postoperative deviation angles, binocular vision, surgical success or follow-up period (p>0.05). The rate of amblyopia, near deviation and amount of surgery were higher in group 2 cases (p<0.05). Between group 3 (n=64) and group 4 subjects (n=20), no significant differences were detected in terms of gender, surgical age, refraction, amblyopia, anisometropia, preoperative deviation angles, the number of symmetric and asymmetric surgeries, the amount of surgery, or postoperative binocular vision (p>0.05). The average postoperative follow-up period was 15.41±19.93 months (range, 6-98 months) in group 3 cases and 40.45±40.06 months (range, 6-143 months) in group 4 cases (p=0.000). No significant difference was detected in the amount of deviation corrected per 1 mm of surgical procedure between the successful cases in the symmetric and asymmetric groups (p>0.05).
  
  
  CONCLUSIONS
  Symmetric or asymmetric surgery may be preferable in patients with infantile esotropia according to the clinical features. It is necessary for every clinic to review its own dose-response results.
authors: Atatürk Education and Research Hospital, Clinic of Ophthalmology, İzmir, Turkey.
authors: Nazife Sefi
authors: NS
authors: Yurdakul
authors: Atatürk Education and Research Hospital, Clinic of Ophthalmology, İzmir, Turkey.
authors: Seda
authors: S
authors: Bodur
authors: Atatürk Education and Research Hospital, Clinic of Ophthalmology, İzmir, Turkey.
authors: Feray
authors: F
authors: Koç
keywords: Response; Surgery; dose; infantile esotropia; recession; resection