Korean J Ophthalmol.  2004 Dec;18(2):161-167. 10.3341/kjo.2004.18.2.161.

Bilateral Lateral Rectus Resection in Patients with Residual Esotropia

• Jang GJ
• Park MR
• Park SC

• KMID: 754382
• DOI: http://doi.org/10.3341/kjo.2004.18.2.161

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.

Keyword

residual esotropia; bilateral lateral rectus resection

MeSH Terms

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

Figure

• 

  Fig. 1 Survival curve demonstrating alignment success following bilateral lateral rectus resection for residual esotropia (Kaplan-Meier survival analysis). Up to 70% of patients had successful eye alignments, which were stable during two-year follow up.

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