The age for strabismus surgery remains controversial and the various studies differ whether the results of residual angle and binocular vision may be better with early or late surgery. Different operating techniques for infantile esotropia have been proposed: recession of both medial recti, combined surgery on horizontal muscles, posterior fixation on one or both eyes, posterior fixation with simultaneous recession, botulin injection.
Our study presents 45 children with congenital esotropia operated at a mean age of 18.5 months. The surgical technique consisted of posterior fixation of both medial recti with or without simultaneous recession.