Expert panel debates preferred strabismus surgery techniques

At the annual American Association for Pediatric Ophthalmology and Strabismus meeting in New Orleans, OSN Pediatrics/Strabismus Section Editor Robert S. Gold, MD, led a round table discussion on surgical approaches to correcting strabismus. Each of the participants had a different approach to correcting esotropia in patients with a large disparity in distance/near vision, some operating on the near angle, some on the distance angle and some with nuanced differences in the amount of correction to perform. Then the panelists took a new look at plication vs. resection for strabismus surgery, an idea that is not new, but one that is getting more consideration as an alternative to resection. Robert S. Gold, MD: We will start by talking about surgical treatment for accommodative esotropia with a high accommodative convergence/accommodation (AC/A) ratio, that is, a distance/near disparity with a basic component that requires surgery.