Surgical treatment of congenital esotropia

ABSTRACT

This study was done on 25 patients with congenital esotropes with deviations of 50 prism diopters or greater, the success rate of large [6 and 7] bilateral medial rectus recessions was found to be 88%. Judgment of final aligment was made six weeks post operatively, average follow up 12 months. Large bilateral medial rectus recessions are an effective surgical treatment for congenital esotropia. This procedure does not significantly alter adduction, and leave other muscles available for further surgery if necessary. These findings show that initial surgery on three or more muscles unnecessary in congenital esotropia