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Related Experiment Video

Updated: Apr 8, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
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Bimedial rectus plication in Residual exotropia.

Nithya Raghunandan1, Adhiti Todime2, Neha Satish Saswade3

  • 1Department of Ophthalmology, M.S. Ramaiah Medical College and Hospital, Bangalore, India.

Strabismus
|April 7, 2026
PubMed
Summary

Medial rectus plication is an effective surgical option for managing residual exotropia, improving ocular alignment and convergence. This vessel-sparing technique offers a reversible alternative to traditional resection methods.

Keywords:
Bimedialplicationresidual exotropia

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Area of Science:

  • Ophthalmology
  • Strabismus Surgery
  • Ocular Motility

Background:

  • Residual exotropia is an outward eye deviation post-strabismus surgery.
  • Management requires careful evaluation and surgical planning.
  • Traditional methods like resection have limitations.

Purpose of the Study:

  • To evaluate the efficacy of medial rectus plication for residual exotropia.
  • To assess improvements in ocular alignment and convergence.
  • To present an alternative to traditional muscle resection.

Main Methods:

  • A 28-year-old male with 40 prism-diopter residual left exotropia and poor convergence was treated.
  • Anterior segment optical coherence tomography (AS-OCT) aided surgical planning.
  • Bimedial rectus plication was performed.

Main Results:

  • Achieved 2-4 prism-diopters of esophoria postoperatively.
  • Ocular alignment remained stable at 3-month follow-up.
  • Significant improvement in convergence and no diplopia reported.

Conclusions:

  • Medial rectus plication is a viable surgical option for residual exotropia.
  • The procedure offers a vessel-sparing and reversible approach.
  • It effectively enhances adduction and convergence while preserving ocular perfusion.