Bilateral lateral rectus recession for consecutive exotropia

Introductions Treatment of consecutive exotropia after bilateral medial rec tus recessions has been rarely studied, Though several series have reported results of medial rectus advancement, none has described results of latera l rectus recessions. Methods: We reviewed our results in 31 patients who un derwent bilateral lateral rectus recessions for consecutive exotropia after bilateral medial rectus recessions. Mean follow-up was 30 months (range, 1 -140 months) after the exotropia repair. Results: At last follow-up, 20 of 31 patients (65%) had deviations of less than or equal to 10 PD. Limitation of adduction was not apparent. Discussions Cooper's dictum states that lat eral rectus recession should be performed instead of medial rectus advancem ent. Our results suggest that this approach is generally successful. The ou tcome after exotropia repair in consecutive deviations is comparable to tha t after repair of primary exotropia.