Pre-Op Exam




moderate ET in upgaze elevation in adduction OS +4 large esotropia in primary position ET 60 elevation in adduction OD +4 very large esotropia in downgaze ET 70

Note:
Bilateral inferior oblique overaction +3
Bilateral DVD ++

Pre-Op Exam 2




(R) head turn and fixation with OD in adduction (L) head turn and fixation with OS in adduction

Infantile esotropia with "V"-pattern, bilateral inferior oblique overaction and
bilateral dissociated vertical deviation

Bimedial recession 6 mm and infraplace
(L) lateral resect 6 mm
Bilateral inferior oblique disinsertion-myectomy

ET 10 (primary position)
persistent DVD OU
"V" pattern improved