Huge Exotropia Working on the sound eye
It is usually a hard job to convince such patients that this huge XT will not be corrected without working on their seeing eye.
Adding one muscle from the sound eye to the surgical plan usually gives satisfactory results.
A lateral rectus recession of the sound Lt eye was needed for perfect surgical correction.
1. Before taking the decision of working on the sound eye in a huge XT it is the surgeon’s responsibility to be sure that it is a comitant strabismus
2. Correction of this huge XT could be achieved
by working only on the exotropic eye but this usually results in disfiguring incomitance in extreme gazes due to overwork on the MR or the LR