{
  "abstract": "The prevalence of adult esotropia is becoming more common, in part due to an ageing population, and in part to increasing prevalence of myopia. In addition, there is now an understanding of the anatomical changes, sometimes termed heavy eye, and sagging eye.The results of 14 patients are presented who complained of double vision primarily in the distance due to an esotropia, bigger in the distance.These changes were managed with a plication of the lateral rectus in association with an equatorial repositioning to maximise the strengthening effect.The variation in technique was stimulated by the observation that after resection, the position of the muscle belly would be more inferior, so the anatomical abnormality was exaggerated by the tightened muscle. A plication is half completed on the lateral recuts, which allows the surgeon to access the equatorial area using the fold of muscle tendon, as the muscle has not been dissected off the eye. Once the suture is placed at the equator, the plication is completed by folding over the redundant muscle tendon.This modification has allowed small to moderate levels of esotropia to be corrected, with consistent good results, but does require a modification of dose as compared to a lateral rectus resection only. The technique is also possible under local anaesthetic, important in elderly patients.",
  "authors": [
    {
      "affiliations": [
        "York and Scarborough Teaching Hospital Foundation Trust, UK"
      ],
      "name": "Robert Taylor"
    }
  ],
  "title": "130251 Modification of lateral rectus plication for distance esotropia in adults",
  "uid": "4cf6f8e8-b529-598a-9406-1d27fb8c1165"
}