Trial Parameters
Brief Summary
This prospective comparative study aims to compare medial rectus (MR) muscle fenestration and recession in patients with partially accommodative esotropia (PAET). The main question it aims to answer is whether MR fenestration is equally effective as MR recession for PAET. All patients will receive complete ophthalmic and orthoptic assessment. Patients will be randomly allocated using a random table to one of two groups; Group 1 will receive conventional MR recession, and Group 2 will receive MR fenestration.
Eligibility Criteria
Inclusion Criteria: * patients with accommodative esotropia if the residual distance deviation with full cycloplegic correction is \> 15PD. Exclusion Criteria: 1. convergence excess esotropia. 2. paralytic or restrictive strabismus. 3. previous strabismus surgery 4. neurologic, ocular, or developmental disorders or follow-up less than 6 months