Surgical indication and results in exotropia with divergence excess

Abstract

4 patients with primary exotropia of divergent excess type and 6 patients suffering from secondary exotropia and raised AC/A ratio have been operated with combined external rectus recession interal rectus 'Fadenoperation' and, if necessary, internal rectus resection. In all patients, the far-/near angle difference has been diminished, and in most of them microstrabism was achieved. Lateral gaze incomitance or a significant reduction of the motility of the globe did not occur. Thus, this kind of operation can be recommended for both groups of patients.