Bilateral Lateral Rectus Resection in Patients with Residual Esotropia.
10.3341/kjo.2004.18.2.161
- Author:
Gyu Jin JANG
1
;
Mi Ra PARK
;
Soo Chul PARK
Author Information
1. Department of Ophthalmology, St. Mary's Hospital, School of Medicine, The Catholic University of Korea, Seoul, Korea.
- Publication Type:Original Article ; Comparative Study
- Keywords:
residual esotropia;
bilateral lateral rectus resection
- MeSH:
Child;
Child, Preschool;
Comparative Study;
Esotropia/*surgery;
Female;
Follow-Up Studies;
Humans;
Infant;
Male;
Oculomotor Muscles/*surgery;
Ophthalmologic Surgical Procedures/methods;
Postoperative Complications;
Reoperation;
Retrospective Studies;
Treatment Outcome;
Visual Acuity
- From:Korean Journal of Ophthalmology
2004;18(2):161-167
- CountryRepublic of Korea
- Language:English
-
Abstract:
Unilateral or bilateral lateral rectus resection1-5 is commonly performed for the correction of residual esotropia, but few results have been reported. Twenty-eight patients with residual esotropia underwent bilateral lateral rectus (BLR) resection. Six months after operation (n = 25), there were 17 (68%) successful cases, 7 (28%) cases of undercorrection, and 1 (4%) case of overcorrection. The success rate at the 24th postoperative month (n = 11) was 72.7%. The success rate for cases of infantile esotropia (n = 18) was higher than that for acquired esotropia (n = 7) at the 6th postoperative month (p = 0.156). The results were not significantly affected by the presence of other deviations (p = 0.387), the performance of other surgery (p = 0.393), the presence of amblyopia (p = 1.00), or the amount of residual esotropia (p = 0.604). Performance of BLR resection in patients with residual esotropia after bilateral medial rectus (BMR) recession is considered appropriate due to its high success rate and provision of a stable alignment during two-year follow up.
