Management of Nonresolving Consecutive Exotropia Following Botulinum Toxin Treatment of Childhood Esotropia

Management of nonresolving consecutive exotropia following botulinum toxin treatment of childhood esotropia.

OBJECTIVE To study motor and sensory results of surgery for exotropia following botulinum toxin A injection to correct childhood esotropia. METHODS The medical records of 2445 patients treated with botulinum toxin bimedial injection were retrospectively reviewed to select patients operated on after 1 year of consecutive exotropia. We recorded age at onset of deviation, retinoscopic refractive...

Consecutive exotropia following surgically corrected cyclic esotropia.

INTRODUCTION Cyclic esotropia is a rare form of strabismus consisting of regular intervals of esotropia alternating with periods of orthophoria in a rhythmic/cyclic manner. In the vast majority of cases, surgery appears to permanently correct the esotropia, with no sequelae after years of follow-up. We report a case of consecutive exotropia in a patient five years after bilateral medial rectus ...

Consecutive esotropia following surgery for intermittent exotropia.

Botulinum toxin treatment for esotropia.

Botulinum toxin (BOTOX®) has been reported to have success as an alternative to traditional surgery for patients with infantile and early onset acquired strabismus. Selected cases with smaller angles may do well with botulinum toxin as a primary treatment; however, the large angle associated with most cases of infantile esotropia in my experience prevents its use. We report the use of botulinum...

Consecutive exotropia following surgery.

We studied 250 patients with consecutive exotropia. The interval between the surgical procedure and the onset of the consecutive exotropia may take many years. Consecutive exotropia occurred with all types of corrective esotropia surgery that we studied. Amblyopia and medial rectus limitation postoperatively seemed to be common factors associated with consecutive exotropia.