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Volume 41, 1992, p. 6771

Long Term Follow-up of Extraocular Muscle Surgery for Congenital Esotropia (Abstract)
Anthony R. Caputo, M.D., Suqin Guo, M.D., Rudolph S. Wagner, M.D., Maria V. Picciano, M.D.

After the records of 345 patients with congenital esotropia were reviewed, a total of 142 patients with congenital esotropia who underwent muscle surgery were included in our study. The patients included had alignment within ± 10 PD of orthophoria six months postoperatively and followed for a maximum of 10 years. Four years after surgery, 105 patients (74%) remained within ±10 PD of orthophoria, whereas 27 patients (19%) developed consecutive exotropia (> 10 PD Of the 82 patients followed for six years postoperatively, 21 patients (26%) developed consecutive exotropia and only 58 patients (71%) remained orthophoric. All of the patients who developed consecutive exotropia were either orthophoric or exotropic (< 10 PD) six months after surgery. Our study suggests that a satisfactory alignment shortly after surgery does not guarantee a long-term alignment and a preferred immediate alignment following initial surgery for congenital esotropia may be within 10 PD of esotropia.