Sixteen patients with moderate angle esotropia of 30 to 35 prism dioptres were treated with a unilateral medial rectus muscle recession of 6 or 6.5 mm. Thirteen of sixteen patients (80%) were straight postoperatively or had 12 prism dioptres or less of esotropia. Three of the 16 had greater than 12 prism dioptres of esotropia, and none were exotropic. This procedure should be considered as an alternative approach in the treatment of moderate angle esotropia.
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