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Surgical Correction for Pediatric Epiblepharon and Trichiasis

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Consecutive exotropia following surgically corrected cyclic esotropia.

Joel Post, Ryan B Eidsness, Kenneth G Romanchuk

The American Orthoptic Journal

|December 15, 2010

Summary

This case report details a rare instance of consecutive exotropia developing five years after surgical correction for cyclic esotropia, a condition typically resolved by surgery.

Area of Science:

Ophthalmology
Strabismus Research
Ocular Motility Disorders

Background:

Cyclic esotropia is a rare strabismus characterized by regular, rhythmic intervals of inward eye deviation alternating with normal alignment.
Surgical correction of cyclic esotropia is generally effective, with most patients experiencing permanent resolution without long-term complications.

Purpose of the Study:

To report the first documented case of consecutive exotropia occurring after surgical correction of cyclic esotropia.
To highlight a rare, delayed complication following standard surgical intervention for this specific type of strabismus.

Main Methods:

A case report methodology was employed, involving a thorough review of the patient's clinical chart.
Detailed examination of the patient's history, treatment, and long-term follow-up was conducted.

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Main Results:

A pediatric patient initially treated for esotropia developed cyclic esotropia, which was surgically corrected with bilateral medial rectus recessions.
The patient remained orthophoric with binocular vision for five years post-surgery, then presented with intermittent exotropia and occasional diplopia.

Conclusions:

While surgical correction for cyclic esotropia is highly successful, this case illustrates a potential for late-onset consecutive exotropia.
This report represents the first documented instance of exotropia developing years after successful surgical management of cyclic esotropia, suggesting the need for continued long-term monitoring.