PURPOSE: To study the effects of bilateral medial rectus recession for the management of adult onset age-related distance esotropia. METHODS: Ten patients with adult onset age-related distance esotropia measuring 14 prism diopters or greater underwent bilateral medial rectus recession to eliminate the need for prism glasses. RESULTS: In all but one case, the diplopia completely resolved postoperatively, with a median residual deviation of 1 prism diopter esophoria for distance and 2 prism diopters exophoria at near. CONCLUSION: Bilateral medial rectus recession is a useful technique for the management of adult onset age-related distance esotropia.
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