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Updated: May 29, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
[Reoperation in congenital and essential acquired non acomodative esotropia]
Fábio Ejzenbaum1, Adele Christina Manso Marques, Janine Radd Ferreira Pinto
1Departamento de Oftalmologia, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brasil. fabio_e@terra.com.br
Purpose:
To analyze the results in patients reoperated from congenital and essential esotropia.
Methods:
A retrospective chart review of 393 patients who underwent surgery from 2000-2004 was performed. Subjects were divided into two groups: Congenital esotropia (91 patients) and essential esotropia (302 cases).
Results:
Among congenital cases we had 9 reoperations (9.9%). There were undercorrections (3.3%), overcorrections (2.2%), anisotropia (V) (1.1%), hypotropia (1.1%) and dissociatd vertical divergences (2.2%). Among the essential cases, there were 31 (10.3%) reoperations due to undercorrections (n=6.6%), overcorrections (n=2%) and hypotropias (1.7%).
Conclusions:
Outcomes reoperations rates were 9.9% and 10.2% between congenital and essential esotropias with a higher rate of undercorrections. Amblyopia in both groups and deviations higher than 50∆ in essential esotropias seems to be the most important factors for poor results.
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