Medial transposition of the lateral rectus muscle in experimentally induced medial rectus paralysis

1991 ◽  
Vol 5 (1) ◽  
pp. 9 ◽  
Author(s):  
Young Suk Yu ◽  
Dong Gyu Choi
Keyword(s):  
Rectus Muscle ◽  
Lateral Rectus ◽  
Medial Rectus ◽  
Lateral Rectus Muscle ◽  
Experimentally Induced

Outcomes of bilateral lateral rectus recession in treatment of recurrent exotropia after bilateral medial rectus resection

2018 ◽  
Vol 29 (4) ◽  
pp. 402-405
Author(s):  
Amr Elkamshoushy ◽  
Michael A Langue
Keyword(s):  
Chart Review ◽  
Rectus Muscle ◽  
Retrospective Chart Review ◽  
Lateral Rectus ◽  
Medial Rectus ◽  
Primary Surgery ◽  
Lateral Rectus Muscle ◽  
Recurrent Exotropia ◽  
Large Primary

Purpose: To report the results of bilateral lateral rectus muscle recession for recurrent exotropia in cases where the primary surgery was a bilateral medial rectus resection. Methods: Retrospective chart review of 15 subjects who completed 6 months of follow-up. Data collected included patients’ demographics and pre- and post-operative measurements of ocular alignment and motility. Surgical nomogram used was the same nomogram we use for primary cases of exotropia. Results: At 6-month follow-up, 73.3% of cases had a successful surgical outcome (defined as 8 PD of esotropia to 10 PD of exotropia). In addition, recession of lateral rectus muscles against the previously resected medial recti did not result in a significant increase in the limitation of abduction. Conclusion: Bilateral lateral rectus recession using standard surgical tables is a safe and effective method for treating recurrent exotropia following bilateral medial rectus resection. Even large primary resections up to 12 mm do not seem to affect the results of bilateral lateral rectus recession.

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