Medial rectus plication for consecutive exotropia in a patient with stretched scar syndrome

We report a case of stretched scar syndrome in a 12-year-old girl with consecutive exotropia who had previously been treated with bilateral medial rectus muscle recessions. Stretched scar syndrome was confirmed intraoperatively, and bilateral medial rectus muscle plication was performed, successfully restoring normal alignment. Use of plication rather than resection of rectus muscles (stretched scar) can reduce the risk of a lost or slipped muscle and reduce surgical trauma and bleeding.