Unilateral Medial Rectus Recession for the Treatment of Esotropia

Abstract

Twenty selected patients with esotropia were treated with a unilateral medial rectus recession. Ten patients underwent a 5-mm unilateral media/rectus recession for esotropia of 20 prism diopters (PD) or less, 6 a 5.5-mm recession for esotropia of 25 PD, and 4 a 6-mm recession for esotropia of 30 PD. Eighteen of the treated patients were straight postoperatively or had 10 or less of esotropia; there were no overcorrections. Clinically significant limitation of adduction did not occur in any of the patients. Unilateral medial rectus recession should be considered as an alternative in the treatment of small-angle esotropia.