ABSTRACT
We studied the clinical risk factors of convergence insufficiency pattern consecutive exotropia (CICE) and the efficacy of our surgical treatment. Twelve consecutive patients who underwent surgeries to correct CICE following bimedial recessions were enrolled. Age of onset, amblyopia, refraction, and the detailed preop and postop characteristics were reviewed. Poor surgical outcome was associated with LR recession or MR advancement without slanted reattachment. All 6 patients who underwent MR advancement with slanted reattachment showed the successful alignment. The presence of a preoperative oblique dysfunction, A or V pattern, DVD, amblyopia, low hyperopia, excessive amounts of MR recession, and late timing of esotropia surgery seem to predispose to develop the CICE. Unilateral or bilateral medial rectus advancement and/or resection with slanted reattachment procedure may be a good surgical option for the treatment of CICE.
