OBJECTIVE To evaluate the success rate of surgical corrections of constant and intermittent exotropias. STUDY DESIGN A case series. PLACE AND DURATION OF STUDY Al-Ibrahim Eye Hospital, Karachi, from July 2011 to December 2012. METHODOLOGY Patients having primary exotropia (deviation 15 - 45 prism diopters [PD]) were included. Patients with either constant exotropia or basic intermittent e...

OBJECTIVE: To determine the post surgical stability of ocular alignment in constant exotropia. DESIGN: Retrospective observational clinical analysis. SETTING AND PERIOD: Department of ophthalmology, Unit-III. Liaquat University Eye hospital, Hyderabad from January 2003 to December 2008. METHODS: This study was conducted on patients of all ages with socially noticeable exodeviation undergoing st...

PURPOSE The concordance of strabismic phenotypes was examined in monozygotic versus multizygotic twins and other multiple births to study the role of genetic background in different types of commitant strabismus. METHODS Medical charts of 45 consecutive pairs of twins (16 monozygotic and 18 dizygotic twins, and 11 with unknown zygosity), 3 sets of triplets (one monozygotic and 2 trizygotic tr...

We retrospectively studied 101 consecutive patients with Duane's retraction syndrome. Eighty-five percent were unilaterally affected and 15% were bilaterally affected. More patients had straight eyes in primary position than esotropia or exotropia. On lateral version reflex testing the amount of underaction of the lateral and medial rectus muscles could be determined, and could be used to predi...

PURPOSE The purpose of this study was to investigate the clinical course of esodeviation after exotropia surgery in older patients (older than 15 years) and to compare it with that in younger patients (15 years or younger). METHODS The medical records of all surgeries for exodeviation from December 2004 to February 2007 were reviewed and 82 patients were found with consecutive esodeviation. T...

IMPORTANCE Extraocular muscle strengthening is a common treatment for strabismus. Plication is an alternative procedure for strengthening muscles with less tissue trauma than resection. OBJECTIVE To compare the surgical dose effect of plication with that of resection. DESIGN, SETTING, AND PARTICIPANTS Retrospective comparison of surgical outcomes in an academic pediatric ophthalmology and s...

BACKGROUND AND PURPOSE To report on the outcomes of treating children with a persistent esotropia with an injection of botulinum toxin in a medial rectus muscle. PATIENTS AND METHODS The medical records were reviewed of all children at one institution with a persistent esotropia after bilateral medial rectus recessions and bilateral lateral rectus resections then treated with a botulinum toxi...

Background: This paper reflects an effort to recreate a modern analysis of a 1985 study on surgical outcomes of intermittent exotropia. Post-surgical results are reported as functional, motor, cosmetic, and unsuccessful. Modern optometric approaches to management of intermittent exotropia are also discussed. Methods: A literature review of 17 acceptable papers (dating from 1990-2011) on the out...

Many pediatric ophthalmologists have been trained with the strategy that an initial postoperative esotropia of 10 to 20 prism diopters following surgical correction for intermittent exotropia is a desirable initial outcome. This recommendation was suggested to apparently reduce the possibility of subsequent recurrence of exotropia. However, pediatric ophthalmologists who do unilateral recession...