Comparative study of the surgical management of congenital esotropia of 50 prism diopter or less

Abstract

Fort-nine patients with congenital esotropia of 50 prism diopters or less were selected at random. Twenty-five had bimedial recessions performed initially followed by bilateral rectus resections when needed. Twenty-four had recession/resections performed initially and when needed, were followed by the same procedure on the fellow eye. The average corrections obtained after first procedure and after second procedure were compared and analyzed. The results showed the initial procedures of both groups to be equally effective. The results obtained after the second procedure in the recession/resection group were significantly better. Therefore, it would appear that for the patient we have described, the most effective surgical approach is ultimately the surgical regimen of recession/resection followed by the same procedure on the fellow eye.