The goals of this study were to describe the clinical features of acute concomitant esotropia (ACE), analyse the surgical results and evaluate correlations with clinical variables. This was a retrospective study of 15 patients with mean age of 39.2±10.7 years; 66% male. Mean refractive error was -3.97±2.87D (right eye) and -3.60±2.74D (left eye). Stere acuity was a mean 116.2±104” preoperatively and 97.1±128.9” postoperatively. All but one case had diplopia as a presenting symptom. Mean esotropia was 22.7±7.2PD and 23±7.5PD at near and distance preoperatively reducing to 1.3±2.6PD and 1.3±2.7PD postoperatively. Mean surgical recession was 12±2.2mm with mean follow-up of 20.3±35.3 months. The average dose response was 1.86±0.58 PD/mm. The surgical dose response and postoperative deviation was highly correlated with preoperative deviations. No correlation was found for age, sex, refractive error, visual acuity or stereo acuity. The authors conclude good results are obtained from large medical rectus recessions in ACE.
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Medial rectus recessions for ACE
Reviewed by Fiona Rowe
CONTRIBUTOR
Fiona Rowe (Prof)
Institute of Population Health, University of Liverpool, UK.
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