Alignment success following medical rectus recessions in normal and delayed children

J Pediatr Ophthalmol Strabismus. 1995 Jul-Aug;32(4):225-7. doi: 10.3928/0191-3913-19950701-05.


Others have suggested that developmentally delayed children, who are frequently esotropic, have a poor prognosis following esotropia surgery. To date, no comparison of success rates in normal and delayed children following similar surgery has been made. We compared our long-term results following graded bilateral medial rectus recessions in consecutive normal (n = 62) and delayed (n = 29) children. We defined success as alignment maintained within 10 delta of orthophoria. Survival curves were compared using the Mantel-Haenszel statistic. Delayed children had a significantly poorer outcome (p = .05) throughout follow up, which ranged from 12 to 120 months (mean = 24 months). Early in the period of study, we observed a large proportion of overcorrections among the delayed children. Subsequent modification in the amount of surgery performed appeared to improve the initial and long-term success in these children. We conclude that delayed children do have a poorer prognosis than normal children following medial rectus recession. This prognosis may be improved by more conservative amounts of surgery.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Developmental Disabilities / complications*
  • Developmental Disabilities / physiopathology
  • Esotropia / physiopathology
  • Esotropia / surgery*
  • Eye Movements / physiology
  • Follow-Up Studies
  • Humans
  • Infant
  • Oculomotor Muscles / physiology
  • Oculomotor Muscles / surgery*
  • Prognosis