Consecutive exotropia after surgical treatment of childhood esotropia: a 40-year follow-up study

Abstract

This 40-year postoperative follow-up of patients with childhood ET who underwent strabismus surgery by a single surgeon in Sweden showed that multiple surgeries and presence of postoperative adduction deficit were the most important factors influencing the incidence of consecutive XT after surgery. Presence of uncorrected amblyopia did not alter the prognosis for long-term development of consecutive XT.

Characteristics and surgical outcomes of consecutive exotropia of different etiologies

“…Multiple studies have addressed consecutive exotropia after medial rectus muscle recession [7][8][9] or after reoperation for consecutive exotropia [10][11][12][13]. However, none of them studied consecutive exotropia by stratifying patients on the basis of the insertion anatomy of the previously operated medial rectus muscle, and none of them followed patients for longer than 1 year.…”

Effects of Recession versus Tenotomy Surgery without Recession in Adult Rabbit Extraocular Muscle

“…3,4 In another study of surgical treatment for childhood esotropia, of the group that had been successfully aligned to within 10 prism diopters, 21% developed consecutive exotropia. 5 In those patients who required multiple surgeries for successful alignment, the incidence of developing consecutive exotropia increased to 62%. The surgical failure rate is not surgeon or procedure based.…”

Dose–effect relationship of medial rectus muscle advancement for consecutive exotropia

“…[1][2][3][4][5][6] No standard surgical treatment has been developed to manage patients with consecutive exotropia. Options include lateral rectus muscle recessions of unoperated or formerly resected muscles, medial rectus muscle advancement and/or resection, or a combination of these procedures.…”