Review of surgical results using bilateral lateral rectus recession for the correction of exodeviations

The results of bilateral lateral rectus recession as the first procedure for the correction of exodeviations were reviewed. Thirty-six charts met the criteria used in this study. There was an overall success rate of 83% by judging satisfactory surgical results as no more than a 10 diopter esodeviation or exodeviation in the primary position at distance. The success rate for patients with an exodeviation of 40 diopters or less was 93% using our criteria. For exodeviations 45 diopters and greater the success rate was 50%. The factor of basic or divergence excess exodeviations did not seem significant in its correlation to satisfactory surgical results.