A Quarter of Patients Develop Recurrent Hypertropia After SES Surgery

A retrospective single-center case series of 128 patients examined long-term outcomes of strabismus surgery for hypertropia caused by sagging eye syndrome (SES). The study reported that although surgery significantly reduced hypertropia immediately postoperatively, at final follow-up (mean about two years later) 31% of patients had symptomatic hypertropia, including 25% with recurrence of the original hypertropia and 6% due to overcorrection; recurrences accrued gradually over time without an early plateau and were not associated with demographic or clinical factors or surgical technique. The authors state this pattern is consistent with the progressive degenerative pathophysiology of SES.

Most relevant for: Older adults undergoing strabismus surgery for hypertropia related to sagging eye syndrome.

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