DR. PRIYA SARAF

Dr. PRAMOD KUMAR PANDEY, Dr. KIRTI SINGH, Dr.Divya Kishore

Abstract

Purpose:Medial Rectus elongation has been studied in infantile esotropia but there are no reports on Lateral Rectus elongation in exotropia and compared to its outcomes with conventional recession-resection.Methods:10 patients of sensory exotropia >40PD were assigned into two groups A and B each.Group A underwent conventional recession-resection.Group B underwent LR elongation 6-12mm and MR resection ≤6.5mm.LR was split longitudinally into 3 parts.The peripheral sections were cut 6mm distal to insertion.Distal ends of peripheral sections were sutured to cut end of central section.Patients were evaluated at 3month and success defined as deviation ≤ 8PD.Results:Age ranged from 15-35years Preoperative deviation was 40-65PD.Correction achieved in Group B was 51±5.8PD was significantly higher than Group A 44±6.8PD (p=0.029, U= 21.5)Conclusion:Large angle sensory deviation pose surgical challenges.LR elongation with MR resection may correct deviation without significant adverse outcome.