Abstract
To describe the success of a unilateral recess/resect procedure incorporating an adjustable medial rectus muscle resection in the treatment of adult exotropia. The charts of 60 consecutive adult patients with exotropia undergoing lateral rectus muscle recession and adjustable medial rectus muscle resection from November 1998 to August 2003 were reviewed. In 56 (93%) patients, postoperative alignment was within 10 prism diopters of orthophoria. Using adjustable suture technique, a small esodeviation was consistently created in the field of gaze away from the resected medial rectus muscle, and this may guard against recurrence of exotropia. The use of adjustable medial rectus muscle resection is an alternative, successful, and reliable procedure for the management of adult exotropia.
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