A patient with history of childhood esotropia presented to our clinic. She reported experiencing binocular visual confusion/jumping images and eye pain in the right eye. The patient was previously treated with prism glasses. Her exam was notable for a comitant esotropia. She underwent surgical treatment consisting of recession of the medial rectus muscle in both eyes with adjustable sutures (OD 3.5 mm adj & OS 5 mm). On the 4th post operative day, she presented with a large exotropia of the right eye turning with limitation to adduction. She underwent exploration of right medial rectus with reattachment to the sclera 3.5mm posterior to original insertion site. The patient was noted to have an acceptable small extoropia post-operatively without diplopia.
Presentation Date: 03/09/2023
Issue Date: 03/24/2023