ABSTRACT
Introduction : Antinomic deviations are defined as a basic exoposition of the eyes associated with innervational convergence excess leading to esoposition.
Material and Methods : 34 patients with both Exodeviation (X) and Esodeviation (E) were studied. Surgery consisted in Lateral Recti (LR) recess with Fadenoperation on the Medial Recti (MR).
Results : Four types of antinomic deviations were found :
Primitive X with excess of physiological accommodative vergences.
Consecutive X due to surgical overcorrection of an accommodative esotropia.
Infantile X with fixation in adduction, DHD ± convergence excess.
Consecutive infantile X: overcorrection of a congenital esotropia
Conclusion : Although Fadenoperation on MR may seem paradoxical in exodeviations, it is the most logical procedure to deal with convergence excess and fixation in adduction prevalence.
