Large bilateral medial rectus recession in early esotropia with bilateral limitation of abduction.

Large bilateral medial rectus recession was performed in a group of 85 patients presenting early large angle esotropia with bilateral limitation of abduction. The results obtained after three postoperative years demonstrated that the proposed method not only corrects the angle of deviation but significantly improves abduction and consequently torticollis. In spite of the large recession performed, both adduction and convergence were not significantly affected.