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New research · Ophthalmology
Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 4d
Cohort studyJournal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2026

Surgical outcomes of Scott 2:1 recession-resection adjustable technique for incomitant strabismus.

Veronika Yehezkeli, Jennifer T Vu, Stacy L Pineles, Federico G Velez
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OphthalmologyCohort study

The 2:1 Scott recession-resection surgery improved incomitant strabismus in nearly all patients.

Surgical outcomes of Scott 2:1 recession-resection adjustable technique for incomitant strabismus.

Veronika Yehezkeli … Federico G Velez
Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2026
Background

Surgical management of incomitant strabismus, characterized by gaze-dependent misalignment, is challenging.

Methods

A retrospective chart review (January 2014 to August 2024) identified patients with ≥5 Δ difference between primary and diplopic gazes who underwent a 2:1 Scott procedure.

n = 35 patients
Results
97%
surgery corrected eye misalignment across gaze directions in almost all patients
n = 35 patients
More results

Thirty-five patients met inclusion criteria, including 16 (46%) with prior strabismus surgery.

The amount of recession and resection was 5.3 ± 1 mm and 2.5 ± 0.5 mm, respectively.

More results

Improvement in incomitance was comparable across rectus muscles (P = 0.5) and between small and large (<10 Δ and ≥10 Δ ) preoperative incomitance (P = 0.48).

Four patients (12.5%) required reoperation, with no increased reoperation risk related to strabismus surgical history or degree of preoperative deviation/incomitance.

“
Conclusion · 1 of 2

In this patient cohort, the 2:1 dosage for same-muscle recession-resection demonstrated significant improvement in incomitance across various rectus muscles, preoperative deviations, and history of strabismus surgery.

Conclusion · 2 of 2

This approach provides surgeons with a straightforward and pragmatic means to manage incomitant strabismus.

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