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Purpose: to analyze and describe the clinical course of a recurrent exotropia, which after re-surgery developed a consecutive esotropia. Methods: female subject, 4 year and 5 months old, with an intermittent exotropia diagnosis. A retro insertion of the lateral rectus to 6,5 mm in both eyes was performed. Exotropia reappeared in one year. Subsequently, a 6 mm resection of both middle rectus was performed. The postoperatory result was a self involutive consecutive esotropia. Results: after first surgery for exotropia, a micro esotropia was obtained and it evolved to recurrent exotropia. In the new surgery a 20 prismatic diopters consecutive esotropia was obtained and it is currently involutioning. Conclusion: an hypercorrection should be considered in the procedure. In the case of a second surgery for recurrent exotropia, it should be considered that exotropia could reappear, although in a less recurrence rate that in the first one, so another hypercorrection should be considered too. Postoperative esodeviation after exotropia surgery tends to diminish and stop persisting after six months.

Curso clínico de una endotropía consecutiva a una cirugía de estrabismo. Reporte de un caso