Outcomes of Bilateral Lateral Rectus Tucking in Patients with Divergence Insufficiency

Purpose: Divergence insufficiency is characterized by esotropia at far distance with symptomatic diplopia, minimal or no deviation near distance, and full ocular duction version. We analyzed the results of bilateral lateral rectus (BLR) tucking in patients divergence insufficiency.Methods: Surgery was performed on persistent diplopia for least 6 months after onset. The surgical were evaluated BLR based maximum angle among all angles measured repeatedly, including prism adaptation test (PAT).Results: 24 included. average follow-up period 14 (1-48 months). deviations alternate cover before surgery 24.79 ± 8.15 diopter (PD) 15.45 9.30 PD distance. PAT revealed that, increased to 28.50 7.77 that 25.88 8.07 PD, but difference between two values fell less than 3 average. In (58%), followed-up up 1 year, we noted recurrence esotropia, overcorrection, exception one patient who developed distance.Conclusions: guided hour affords stable without overcorrection undercorrection