Surgical Management of Near-Far Disparity Esotropia

Abstract

Contention in the management of CEET has been progressed over the years and the surgical management represents a demanding and challenging problem Up till now the best and the most effective technique with stable results is still under research. Bilateral medial rectus recession. Augmented medial rectus recession bilateral medial rectus recession with retro equatorial myopexy (faden procedure) MR resection combined with recession, y splitting recession and slanted rectus recession are different methods for the surgical treatment.Many studies provided increasing suggestion that Bilateral medial rectus  recession is an effective and secure operation in treating esotropia with near far disparity NFD. If correction depend on the far angle of deviation, high degrees of under correction can progress and if based on the near angle, consecutive exotropia can progress.