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Article
February 1985

Characteristics of Recession-Resection and Bimedial Recession for Childhood Esotropia

Author Affiliations

From the Departments of Ophthalmology (Drs Bartley and Dyer) and Medical Statistics and Epidemiology (Mr Ilstrup), Mayo Clinic and Mayo Foundation, Rochester, Minn.

Arch Ophthalmol. 1985;103(2):190-195. doi:10.1001/archopht.1985.01050020042015
Abstract

• Of 367 unilateral medial rectus recessions-lateral rectus resections and bilateral medial rectus recessions performed for childhood esotropia from 1960 through 1980, a total of 206 met the requirements for a comparative study. Preoperative and postoperative amblyopia was more prevalent in the recession-resection population and was attributed to the more common occurrence of monocular esotropia in patients undergoing recession-resection. Postoperative ocular alignment was better and the need for subsequent strabismus surgery was less in patients who initially underwent recession-resection. Because preoperative esotropia was found to be significantly greater in three of the four categories recorded among the bimedial recession population, we could not state that recession-resection was the "better" operation. Contrary to our previous recommendations for graded recessions, we now believe that maximal (5-mm) bimedial rectus recessions should be performed initially.

References
1.
Taylor DM:  How early is early surgery in the management of strabismus? Arch Ophthalmol 1963;70:752-756.Article
2.
Fisher NF, Flom MC, Jampolsky A:  Early surgery of congenital esotropia . Am J Ophthalmol 1968;65:439-443.
3.
Taylor DM:  Is congenital esotropia functionally curable? Trans Am Ophthalmol Soc 1972;70:529-576.
4.
Foster RS, Paul TO, Jampolsky A:  Management of infantile esotropia . Am J Ophthalmol 1976;82:291-299.
5.
Ing M, Costenbader FD, Parks MM, et al:  Early surgery for congenital esotropia . Am J Ophthalmol 1966;61:1419-1427.
6.
Miles DR, Burian HM:  Computer statistical analysis of symmetrical and asymmetrical surgery in esotropia . Trans Am Acad Ophthalmol Otolaryngol 1967;71:290-302.
7.
Bair DR:  Symposium: Infantile esotropia: Sensory evaluation and results . Am Orthopt J 1968;18:15-18.
8.
Dyer JA:  Should I operate on one eye or both eyes? , in Symposium on Strabismus: Transactions of the New Orleans Academy of Ophthalmology. St Louis, CV Mosby Co, 1971, pp 160-193.
9.
Von Noorden GK, Isaza A, Parks ME:  Surgical treatment of congenital esotropia . Trans Am Acad Ophthalmol Otolaryngol 1972;76:1465-1474.
10.
Hiles DA, Watson BA, Biglan AW:  Characteristics of infantile esotropia following early bimedial rectus recession . Arch Ophthalmol 1980; 98:697-703.Article
11.
Helveston EM, Ellis FD, Schott J, et al:  Surgical treatment of congenital esotropia . Am J Ophthalmol 1983;96:218-228.
12.
Dyer JA: Atlas of Extraocular Muscle Surgery . Philadelphia, WB Saunders Co, 1970.
13.
Kaplan EL, Meier P:  Non-parametric estimation from incomplete observations . J Am Stat Assoc 1958;53:457-481.Article
14.
Costenbader FD:  Infantile esotropia . Trans Am Ophthalmol Soc 1961;59:397-429.
15.
Baker JD, Parks MM:  Early-onset accommodative esotropia . Am J Ophthalmol 1980;90:11-18.
16.
Ing MR:  Early surgical alignment for congenital esotropia . Ophthalmology 1983;90:132-135.Article
17.
Costenbader FD:  Symposium: Infantile esotropia: Clinical characteristics and diagnosis . Am Orthopt J 1968;18:5-10.
18.
Lee DA, Dyer JA:  Bilateral medial rectus muscle recession and lateral rectus muscle resection in the treatment of congenital esotropia . Am J Ophthalmol 1983;95:528-535.
19.
Arnoult JB, Yeshurun O, Mazow ML:  Comparative study of the surgical management of congenital esotropia of 50Δ or less . J Pediatr Ophthalmol Strabismus 1976;13:129-131.
20.
Pollard ZF:  Accommodative esotropia during the first year of life . Arch Ophthalmol 1976; 94:1912-1913.Article
21.
Freeley DA, Nelson LB, Calhoun JH:  Recurrent esotropia following early successful surgical correction of congenital esotropia . J Pediatr Ophthalmol Strabismus 1983;20:68-71.
22.
Raab EL:  Etiologic factors in accommodative esodeviation . Trans Am Ophthalmol Soc 1982;80:657-694.
23.
Cooper EL:  The surgical management of secondary exotropia . Trans Am Acad Ophthalmol Otolaryngol 1961;65:595-608.
24.
Windsor CE:  Surgically overcorrected esotropia: A study of its causes, sensory anomalies, fusional results, and management . Am Orthopt J 1966;16:8-15.
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