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Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México

2005, Number 2

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Rev Mex Oftalmol 2005; 79 (2)

Stability of wide medial rectus recession for treatment of congenital esotropia.

Ramos CML, Pérez PJF, Arroyo YME

Language: Spanish
References: 19
Page: 75-78
PDF size: 35.17 Kb.


ABSTRACT

Objective: To know the stability of wide recession of both internal rectus muscles in patients with congenital esotropia.
Material and methods: A retrospective and longitudinal study was made. 86 patients with a deviation range of 35 to 70 prismatic diopters were included. All patients underwent a symmetric recession of both internal rectus muscles at level of the equator or behind. After surgery the presence of residual or consecutive deviation was evaluated. A good result was considered a deviation in the range of 10 prismatic diopters.
Results: Of the 86 patients, 37 were male and 49 female. Some grade of amblyopia was found in 28 patients. The following range was 3 months to 8 years. 51 patients presented orthoposition or a residual or consecutive deviation smaller than 10 prismatic diopters, 27 presented a residual esotropia and 8 presented a consecutive exotropia.
Conclusions: The symmetric recession of the medial rectus muscles to the equator or behind it is a safe and reliable surgical method.


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