Review article
Surgical Treatment of Residual Esotropia
Ivana Mravičić
Nikica Gabrić
Adis Pasalić
Vlade Glavota
Nataša Drača
Abstract
Residual esotropia is a common problem following bilateral medial rectus (MR) recessions for esotropia. The patient
was 30 years old men who underwent billateral MR recession of both eyes in the childhood. Recession was repeated on
the right eye few years after the first surgery, but residual esotropia progressed. Prior to our surgery residual angle of
esotropia was 50PD° with restriction of abduction and elevation of the left eye. Sinechiolysis et myectomia of right MR
and sinechiolysis and recession of left MR were performed using operating microskop. One week after surgery residual
angle was 4 PD. Motility of both eyes was free except slight residual reduction of left eye elevation. During postoperative
period of 2 years residual angle was not greater than 8 PD, with good motility of both eyes.. We suggest that sinechiolysis
and myectomia of MR together with recession of the prior operated muscle, when possible, can be a reasonable surgical
option in the treatment of large-angle residual esotropia.
Abbreviations: MR – medial rectus, PD – prism dioptry.
Keywords
infantile esotropia; residual angle; MR recession; sinechiolysis
Hrčak ID:
72295
URI
Publication date:
25.9.2011.
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