Combined adjustable rectus muscle resection--recession for incomitant strabismus

J AAPOS. 2005 Apr;9(2):137-40. doi: 10.1016/j.jaapos.2004.12.004.


Introduction: We sought to report the results of combined adjustable suture resection and recession of a rectus extraocular muscle in a subset of patients who are asymptomatic in the primary position but diplopic in secondary functional gaze positions.

Methods: We undertook a retrospective chart review of 12 patients who underwent a surgical procedure consisting of combined resection and recession of the same rectus extraocular muscle on adjustable suture, the amount of recession being double the amount of resection.

Results: The amount of incomitance reduced from a preoperative mean of 11.6 prism diopters (PD) to a postoperative mean of 2.9 PD. All 4 rectus muscles underwent operation No significant change in the primary position alignment occurred. Diplopia was eliminated in 11 of the 12 patients postoperatively.

Conclusion: The combined adjustable suture resection and recession operation is an effective and easy procedure for treatment of this subset of patients with incomitant strabismus.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Diplopia / etiology
  • Diplopia / physiopathology
  • Diplopia / surgery
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Oculomotor Muscles / surgery*
  • Ophthalmologic Surgical Procedures / methods*
  • Refraction, Ocular / physiology
  • Retrospective Studies
  • Strabismus / complications
  • Strabismus / physiopathology
  • Strabismus / surgery*
  • Suture Techniques*
  • Treatment Outcome