Augmented Medial Rectus Muscle Recession Versus Posterior Scleral Fixation in Partially Accommodative Esotropia
Partially Accommodative Esotropia
About this trial
This is an interventional treatment trial for Partially Accommodative Esotropia
Eligibility Criteria
Inclusion Criteria:
- Acquired residual esotropia greater than 14 PD at distance fixation that exists despite full correction of hypermetropic refractive error with the angle of deviation for near not exceeding that of distance by more than 15 PD
- Lack of previous extra ocular muscle surgery
Exclusion Criteria:
- Fully accommodative esotropia, partially accommodative esotropia with convergence excess, non-accommodative esotropia or infantile esotropia
- The presence of neurologic, developmental or ocular structural disorders
- History of previous eye surgery
- Patients requiring simultaneous oblique muscles surgery
- Follow up less than 6 months
Sites / Locations
- Cairo University Hospital
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Augmented recession
Faden
The medial rectus muscle will be exposed and hooked through a limbal approach. The muscle will then be secured with 6-0 polyglactin sutures. The medial rectus muscles will then be recessed using standard tables with the surgical dose targeting the average of the largest and smallest angles
Medial rectus muscle recession will be performed as described above with the surgical dose targeting the smallest pre-operative angle. The muscle will then fixated to the sclera using 6/0 polyester sutures placed in a mattress like with the anterior and the posterior sutures passing through both the edge of muscle and the sclera 12 mm and 14 mm from the muscle insertion, respectively.