The outcome of surgical correction of concomitant esotropia; local experience

Purpose: To investigate the surgical outcome of esotropia and the possible factors leading to poor outcome regarding alignment. Patients and Methods: This study included 81 patients who were enrolled in a retrospective cross-sectional manner, at Ibsar center in Al-Najaf city, from January 2012 to June 2019. The data were collected from medical records of patients who underwent surgical correction for esotropia and included: patients’ age, patients’ gender, type of operation, presence of amblyopia, dissociated vertical deviation (DVD), degree of preoperative esotropia , type of esotropia and the main surgical outcome regarding alignment in the last postoperative follow up. Results: The median age of participants was 5 years and ranged from 1-37 years, with 43 (53.09%) males and 38 (46.91%) females. The main outcome was 63 (77.78%) patients with orthotropia and 15 (18.52%) had undercorrection, while only 3 (3.7%) had overcorrection. Conclusions: The outcome regarding ocular alignment in the current study were satisfying and comparable to other studies in the world. Age, gender, degree of esodeviation preoperatively, type of surgery, type of squint, amblyopia or DVD were not associated with surgical outcome regarding alignment.