Outcomes of bilateral lateral rectus recession in treatment of recurrent exotropia after bilateral medial rectus resection.

Publication/Presentation Date

7-1-2019

Abstract

PURPOSE: To report the results of bilateral lateral rectus muscle recession for recurrent exotropia in cases where the primary surgery was a bilateral medial rectus resection.

METHODS: Retrospective chart review of 15 subjects who completed 6 months of follow-up. Data collected included patients' demographics and pre- and post-operative measurements of ocular alignment and motility. Surgical nomogram used was the same nomogram we use for primary cases of exotropia.

RESULTS: At 6-month follow-up, 73.3% of cases had a successful surgical outcome (defined as 8 PD of esotropia to 10 PD of exotropia). In addition, recession of lateral rectus muscles against the previously resected medial recti did not result in a significant increase in the limitation of abduction.

CONCLUSION: Bilateral lateral rectus recession using standard surgical tables is a safe and effective method for treating recurrent exotropia following bilateral medial rectus resection. Even large primary resections up to 12 mm do not seem to affect the results of bilateral lateral rectus recession.

Volume

29

Issue

4

First Page

402

Last Page

405

ISSN

1724-6016

Disciplines

Medicine and Health Sciences

PubMedID

30460864

Department(s)

Fellows and Residents

Document Type

Article

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