Resection versus advancement for consecutive XT
Reviewed by Fiona Rowe

The authors performed a retrospective review of results for patients treated with resection for consecutive exotropia in comparison to patients treated with advancement to the original insertion. The age of the resection and advancement groups averaged 33.6 and 38.2 years respectively. The mean preoperative angle was 32.3 for the resection group and 36.2 prism dioptres for the advancement group. Postoperative angle was 11.5 in the resection group and 11.4 prism dioptres in the advancement group. Forty-seven percent of the resection group and 63% of the advancement group achieved alignment within 10 prism dioptres of ortho. The results showed no significance between both groups and the authors conclude both surgical methods are useful.

Treatment of consecutive exotropia: unilateral lateral rectus recession combined with medial rectus advancement or resection.
Mangla D, Simon JW, Mangla N, Zobal-Ratner J.
JOURNAL OF PEDIATRIC OPHTHALMOLOGY AND STRABISMUS
2014;51:116-9.