Surgical success rate similar between two- and three-muscle approaches to correct large-angle esotropia

VANCOUVER, British Columbia — Mediocre long-term outcomes were achieved after single surgery with either a uniform two-muscle approach or a selective three- to four-muscle approach in cases of large-angle esotropia in children, according to a study presented here. “The first thing to note is the relatively low surgical success rate [approximately 30%] regardless of the surgery used, and this despite our relatively liberal definition of success,” Matthew C. Weed, MD, said at the American Association for Pediatric Ophthalmology and Strabismus meeting.