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Case of the week 141  ( October 2013 )

Recurrent Esotropia

 



15 years old female patient with congenital alternating esotropia was operated 3 repeated times  resulting every time with the same angle of deviation. Recession / resection procedures were done in the 4 horizontal recti.

Post op 1  Post op 2  Post op 3 
     

 

Recurrent Esotropia

An unusual form of essential infantile esotropia which recurs to the same angle despite multiple operations. It is fortunately rare, among the factors that could cause such a condition one must consider an increase of uncorrected hypermetropia, a deep-seated anomalous retinal correspondence, nystagmus blockage by convergence, an unstable AC/A ratio, or a blind spot syndrome. None of these factors could be implicated in all patients and the cause of recurrent esotropia remains unknown.

Persistently recurrent esotropia is an unusual occurrence in patients with infantile esotropia. Satisfactory ocular alignment can be achieved in most patients, but several surgeries may be necessary to achieve this.


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