Friday, July 10, 2015

Slanted medial rectus recession is effective in the treatment of convergence excess esotropia.

Slanted medial rectus recession is effective in the treatment of convergence excess esotropia.


"...Near-distance disparity of 10 PD or less was obtained in 14 patients after surgery (87.5%), except 2 patients who had 16 PD of disparity. The authors did not encounter overcorrection except in 1 patient in whom minimal exophoria at distance and near with the glasses was observed and reduced the prescription....."

Comment: The outcome numbers for this study tend to be a bit better than the 20-30% fail rate for other papers that look at strabismus surgery outcome. I wonder what the success rate would be if these patients had vision therapy prior to and after surgery? Maybe one day this will be the standard approach by all to ensure better outcomes. DM


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