Type Eso Deviations

Management Option 1

Management Option 2

Esotropia +V Pattern+No Oblique Overaction

Bilateral medial rectus muscle recessions with  5mm downshift

Medial Rectus Recession With  5 downshift + Lateral Rectus Resection with 5 mm up shift

Esotropia +V Pattern+Inferior Oblique Overaction

B/L Medial Rectus Recession + Inferior Oblique Recession

B/L Medial Rectus Recession + Inferior Oblique Mymectomy

Esotropia +V Pattern+Inferior Oblique Overaction+DVD(Dissociated Vertical Deviation)

B/L Medial Rectus Recession + Inferior Oblique Antero-positioning

Esotropia +A Pattern+No Oblique Overaction

Bilateral medial rectus muscle recessions with  5mm up shift

Medial Rectus Recession With  5 up shift + Lateral Rectus Resection with 5 mm  downshift

Esotropia +A Pattern+Inferior Oblique Overaction

B/L Medial Rectus Recession + Superior Oblique weakning

Refractive Normo Accommodative Esotropia

Full cycloplegic correction

Refractive Hyper Accommodative Esotropia

Full cycloplegic correction with near addition

Partial Refractive Accommodative Esotropia

Full Cycloplegic Correction + Surgery for residual devition

Non Refractive Accommodative Esotropia

Bifocal glasses

Non Refractive Hypo Accommodative Esotropia

Bifocal glasses