Surgical Management of Consecutive Exotropia : Surgical Choice Based on the Angle of Deviation

Aim of the work: to have a surgical plan for consecutive exotropia based on the degree of the angle of deviation. Setting: Department of ophthalmology, Faculty of medicine, Minia University, Egypt. Patients and methods: Study design: retrospective study. Study population 30 Patients with consecutive exotropia were retrospectively divided into two groups Group A: patients with angle of deviation of 30 PD or less had undergone bilateral lateral rectus recession Group B :patients with angle of deviation more than 30 PD had undergone medial rectus advancement of one or both eyes, with or without , unilateral or bilateral lateral rectus recession according to the angle of deviation Follow up visits :first day, first week, one month , three months and six months Inclusion criteria: Patients with consecutive exotropia (those patients have done one strabismus surgery for esotropia ) Exclusion criteria: Patients with multiple strabismus surgeries (other than the first surgery for esotropia ) Paralytic strabismus (third nerve palsy ) Other causes of exotropia (eg Helveston triad ) Outcome measures : Success is defined as postoperative esodeviation less than or equals 10 PD to exodeviation less than or equals 10 PD.