Tactics and timing of surgical treatment in a child with congenital essential esotropia: clinical case

The article presents a clinical case of successful treatment of a premature baby with congenital essential esotropia. The diagnosis was made in the sixth month of life. The patient was recommended spectacle correction taking into account the parameters of ametropia and constant alternating occlusion. In connection with the subsequent increase in horizontal esodeviation and the appearance of a paretic component, a bilateral recession of the internal rectus muscle by 5 mm was carried out in combination with an injection of Botox in a volume of 2.0 IU. After the first stage of surgical treatment, a stable decrease of horizontal esodeviation and an increase of the amount of abduction were achieved. Bilateral combined weakening of medial rectus muscles (classical recession and chemorecession) allows to achieve predicted good results in cases of large strabismus angles, combined with limitation of abduction.