Bilateral lateral rectus resection for residual esotropia

Releasable Adjustable Suture Technique for Children

“…This can yield a number of undercorrections, and the surgeon must be prepared to repeat surgery. [13][14][15] In response to the suboptimal results of fixed suture technique for some cases, we developed the releasable suture technique, which allows the surgeon to further correct the child's ocular alignment in the immediate postoperative period.…”

One-muscle surgery in small-angle residual esotropia

“…7 Gunasakera and coworkers reported successful final alignment after bilateral, lateral rectus resection in 60% of patients. 6 The preoperative angle of strabismus does not appear to predict the likelihood of successful outcome. 2 de Faber and colleagues reported a series of 18 patients with persistent esotropia after maximal recession of each medial rectus muscle on whom marginal myotomy of both medial rectus muscles were subsequently performed.…”

“…9 The rate of achieving satisfactory alignment after reoperation for residual esotropia is discouraging and generally worse than the 52% to 90% of acceptable results reported for primary surgery. 6,8,10 Bietti and Bagolini 10 reported the incidence of undercorrection to be 40%. Von Noorden proposed posterior fixation of both medial rectus muscles in 12 patients and achieved successful alignment in 92% of cases.…”

“…5 Alternatively, others have advocated bilateral lateral rectus resection. [6][7][8] We are unaware of any reports of the use of a single lateral rectus muscle resection in the treatment of small-angle residual esotropia after bilateral medial rectus muscle recession for esotropia.…”

One muscle strabismus surgery

“…Nelson et al [3] attempted to match-specific amounts of exodeviation with specific amounts of unilateral lateral rectus recession. In their study, 7.0, 7.5, and 8.0 mm of recessions were performed for [15][16][17][18], and 20 PD of exodeviation, respectively, with a 94% success (within 8 PD of orthophoria) rate at a mean follow-up 13.9 months postoperatively. Subsequently, Weakley and Stager [4] and Olitsky [5] have also provided surgical guidelines for unilateral lateral rectus recession in intermittent or constant exotropia.…”