CONGENITAL EXOTROPIA: A RARE CASE SERIES
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Keywords
Congenital exotropia, motor and sensory outcomes, amblyopia
Abstract
Background: Congenital exotropia (CXT) is a rare form of strabismus, characterized by divergent strabismus, where the eyes deviate outward. It typically becomes apparent in infancy, generally before six months of age, and persists beyond this stage.
Objective: This case series aims to explore the surgical management of congenital exotropia (CXT) in five children, focusing on the outcomes of the monocular recess-resect procedure and bilateral lateral rectus recessions.
Methods: Five children with congenital exotropia were included in the case series. Surgical interventions included monocular recess-resect and bilateral lateral rectus recessions.
Results: All patients underwent successful surgical correction of large-angle exotropia. In the case of a 1.6- year-old child, a left-eye recess-resect procedure was performed, and residual exotropia of 15 degrees was noted on the first postoperative day. Additional surgery was taken up in the other eye after 3 months which resulted in a good postoperative alignment.
Conclusion: This case series demonstrates the effectiveness of the recess-resect and bilateral lateral rectus recession procedures for managing congenital exotropia, with favorable postoperative outcomes, even in cases with delayed surgery.
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Dr. Seema A V
Associate Professor, ESICMC, Rajajinagar, Bengaluru, India
Dr. Birendra Jha
Medical director, Indore India eye care, Bhopal, India
Dr. Kaushik Shah
Consultant eye surgeon, Ashwini Netralaya, Pune, India