Dr.Deepti P.

Dr.Krishna Prasad R.

Abstract

Aim- To evaluate the efficacy and safety of slanted bilateral medial rectus recession(SBMR) for management of convergence excess esotropia (CEE).
Methods-Retrospective study.18patients with CEE,4-10years old, underwent bilateral slanted medial rectus recession where lower pole was recessed more than upper pole. The successful surgical outcome was primary position esotropia < 8△ both at near and distance&near-distance difference (NDD) < 5△.
Results- The average deviations significantly decreased from 37.1△ ± 4.2△ to 1.4△ ± 4.6△ at near (P < 0.05) and from  25.8△ ± 3.7△ to  0.1 ± 4.1△ at distance (P < 0.05). The postoperative NDD on average was significantly reduced from 10.0△ to 1.8△. None had torsional diplopia, A-V pattern and lateral incomitance after strabismic surgery. Totally, the surgical success rate was 89.7% in our series at the 1-year follow-up.
Conclusion- Slanted bilateral medial rectus recession is a safe and easy technique to manage convergence excess esotropia.