Abstract

To study the effects of bilateral medial rectus recession for the management of adult onset age-related distance esotropia. Ten patients with adult onset age-related distance esotropia measuring 14 prism diopters or greater underwent bilateral medial rectus recession to eliminate the need for prism glasses. In all but one case, the diplopia completely resolved postoperatively, with a median residual deviation of 1 prism diopter esophoria for distance and 2 prism diopters exophoria at near. Bilateral medial rectus recession is a useful technique for the management of adult onset age-related distance esotropia.

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