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Related Experiment Videos

Bilateral lateral rectus resection for residual esotropia.

L S Gunasekera1, J W Simon, J Zobal-Ratner

  • 1Department of Ophthalmology and Lions Eye Institute, Albany Medical College, Albany, New York 12208, USA.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|March 22, 2002
PubMed
Summary

Bilateral lateral rectus resection is a viable surgical option for treating residual esotropia after medial rectus recession. This approach demonstrated a 60% success rate in a patient cohort, offering a reasonable alternative for managing persistent eye alignment issues.

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Area of Science:

  • Ophthalmology
  • Strabismus Surgery
  • Pediatric Ophthalmology

Background:

  • Residual or recurrent esotropia is a frequent complication after bilateral medial rectus recession surgery.
  • Various surgical techniques exist, but effectiveness in managing persistent esotropia remains a focus of research.

Purpose of the Study:

  • To evaluate the efficacy of bilateral lateral rectus resection as a surgical treatment for residual esotropia.
  • To assess the long-term outcomes and success rates of this surgical approach.

Main Methods:

  • Retrospective review of 25 patients (aged 7-89 months) who underwent bilateral lateral rectus resection for residual esotropia.
  • Follow-up ranged from 7 to 95 months (mean 39 months).
  • Survival analysis was employed, defining success as alignment within 10 prism diopters (PD) at the final follow-up.

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Main Results:

  • The study achieved a 60% success rate (15 out of 25 patients) with a median survival of 84 months.
  • Identified 8 undercorrections and 2 overcorrections; 3 patients required a third surgical procedure.
  • Survival outcomes were comparable to those reported for primary esotropia and consecutive exotropia.

Conclusions:

  • Bilateral lateral rectus resection presents a reasonable surgical option for addressing residual esotropia after bilateral medial rectus recession.
  • This technique offers a potentially effective solution for managing complex strabismus cases.