Last Guidelines Overview of Consecutive Esotropia Management: Review Article | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 92, Volume 85, Issue 2, October 2021, Page 3997-4002 PDF (735.34 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2021.206853 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Riham Salah Attia; Omar El-Shabrawy Basyoni; Mohammad Ahmad El-Marakby; Sahar Hemeda Elsayed | ||||
| Abstract | ||||
| Background: Consecutive esotropia (ET) is persistent esodeviation for 24 weeks afterward bilateral lateral rectus recession (BLRR) for correcting exotropia (XT) with or without diplopia. Some patients may have limited eye movement; amblyopia and loss of binocularity can result. Early postoperative overcorrection has been recommended in surgical treatment of intermittent XT due to tendency towards postoperative exotropic drift. ET with small angles (within 15 PD) vanishes naturally over time, whereas bigger angles are more likely to be present at the start. Patients who have ET that has persisted for at least 24 weeks after BLRR and has been present for more than 15 postoperative days should have surgery. Objective: Hallmark the updated lines of management of consecutive esotropia. Conclusion: For the purpose of maintaining one MR muscle for a future intervention, several research have shown that ET can be performed consecutively after BLR recession by advancement of LR muscle previously recessed and MR muscle recession in the more deviating eye. Studies in recent years have sought to determine the effectiveness of the use of lateral rectus advancement in the treatment of consecutive ET. | ||||
| Keywords | ||||
| Consecutive esotropia; Extraocular muscles | ||||
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