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Related Experiment Video

Updated: Jun 6, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
03:59

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Published on: July 8, 2025

Persistently recurrent infantile esotropia.

Marlo Galli1, Gregg T Lueder

  • 1Department of Ophthalmology, St. Louis Children's Hospital at Washington University School of Medicine, St. Louis, Missouri 63110, USA.

The American Orthoptic Journal
|November 11, 2010
PubMed
Summary

Persistently recurrent esotropia is uncommon in infantile esotropia cases. Most children achieve satisfactory eye alignment after multiple surgeries, with developmental delay being a common associated condition.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Strabismus Surgery

Background:

  • Infantile esotropia frequently requires multiple surgical interventions for eye alignment.
  • Recurrent or consecutive deviations are common challenges in managing infantile esotropia.
  • A specific group of patients with persistently recurrent esotropia despite multiple surgeries is presented.

Purpose of the Study:

  • To investigate an unusual subset of patients with infantile esotropia experiencing persistent recurrence.
  • To analyze the surgical outcomes and associated conditions in these challenging cases.

Main Methods:

  • Retrospective review of 11 patients with infantile esotropia and at least three prior surgeries.
  • Data collected included number of surgeries, outcomes, and systemic conditions.

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  • Analysis of ocular alignment and fusion post-surgery.
  • Main Results:

    • These 11 patients constituted 4% of infantile esotropia surgeries.
    • Patients underwent an average of 5 surgeries (range 3-9).
    • Eight patients achieved alignment within 8 prism diopters, and seven demonstrated fusion; developmental delay was noted in some.

    Conclusions:

    • Persistently recurrent esotropia is a rare but significant challenge in infantile esotropia management.
    • While most patients can achieve satisfactory alignment, multiple surgical procedures may be necessary.
    • Associated developmental delays are common, though typically not severe.