Bilateral Lateral Rectus Resection in Patients with Residual Esotropia.

Jang,  Gyu Jin; Park,  Mi Ra; Park,  Soo Chul

doi:2004.18.2.161

Korean J Ophthalmol > Volume 18(2); 2004 > Article

Comparative Study

Korean Journal of Ophthalmology 2004;18(2):161-167.
DOI: https://doi.org/10.3341/kjo.2004.18.2.161 Published online December 30, 2004.

Bilateral Lateral Rectus Resection in Patients with Residual Esotropia.

Gyu Jin Jang, Mi Ra Park, Soo Chul Park

¹Department of Ophthalmology, St. Mary's Hospital, School of Medicine, The Catholic University of Korea, Seoul, Korea.
²Department of Ophthalmology, Kangnam St. Mary's Hospital, School of Medicine, The Catholic University of Korea, Seoul, Korea.

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.

Key Words: residual esotropia;bilateral lateral rectus resection