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Surgical outcome of primary bilateral medial rectus plication for management of basic type intermittent exotropia

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Retrospective case series shows efficacy of medial rectus plication in managing intermittent exotropia, highlighting safety and complications.

Bilateral medial rectus plication achieved a success rate of 64% in treating intermittent exotropia.
Among 22 patients, those with successful outcomes maintained improvements at 1, 3, and 6 months post-surgery.
The procedure involved a fornix-based incision with no intraoperative complications reported during the surgical outcome evaluation.
Bilateral medial rectus plication is a safe and reversible intervention for addressing muscle imbalance in intermittent exotropia.

Fouad et al. (2025) studied this question.

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Retrospective case series shows efficacy of medial rectus plication in managing intermittent exotropia, highlighting safety and complications.