J Korean Ophthalmol Soc.  2004 Mar;45(3):462-468.

The Long Term Surgical Outcome after Bilateral Medial Rectus Muscle Recession in Partially Accommodative Esotropia

• Song JH
• Seong YS
• Chang YH
• Lee JB

Abstract

PURPOSE
To study the correlation between the outcome of the early postoperative period and the long-term outcome after surgery for partially accommodative esotropia. METHODS: The medical records of total 85 patients with partially accommodative esotropia, who underwent bilateral medial rectus muscle recession, and were followed-up at least 6 months, were retrospectively reviewed. The results were analyzed at 1 month, and 1 and 4 years after surgery. RESULTS: Of the 85 patients, 67 (78.8%) revealed postoperative deviation of less than 10 PD, 11 (12.9%) and 7 (8.2%) esotropia and exotropia more than 11 PD, respecrively, 1 month after surgery. At 1year postoperatively, 59 (77.6%), 8 (10.5%) and 9 (11.8%) showed acceptable deviation, undercorrection, and overcorrection, respectively. 4 years after surgery, 26 (81.2%) and 3 (9.4%) each showed acceptable deviation, undercorrection, and overcorrection, respectively. The results showed a tendency to become exotropic during the 4 years after surgery. CONCLUSIONS: In partially accommodative esotropia, it is essential that orthotropia or minimal esotropia should be present in the early postoperative period in order to obtain a good binocular alignment as the long term result. It is recommended that overcorrection be avoided in early postoperative exotropia.

Keyword

Bilateral medial rectus muscle recession; Long-term outcome; Partially accommodative esotropia

MeSH Terms

Esotropia*
Exotropia
Humans
Medical Records
Postoperative Period
Retrospective Studies
Telescopes