Persistently recurrent infantile esotropia
.....The number of
surgeries per patient ranged from 3-9 (mean 5). All of the horizontal
surgeries in eight patients were for esotropia, while three patients
developed exotropia after three or more surgeries for esotropia. .....
Comments: This disorder requires up to 9 surgeries...and then the patient my go on to develop exotropia. Many of the patients evaluated had various disorders and developmental disabilities....a population that has been shown to typically have poor outcomes to strabismus surgery. DM