Long-term outcomes of medial rectus muscle recession for various types of esotropia.

Overcorrection increased over time across all esotropia types, particularly in infantile esotropia and neurologic esotropia. partially accommodative esotropia patients also exhibited an increase in undercorrection/recurrence over time.

Our findings underscore the need for individualized surgical strategies and extended follow-up, especially for patients with neurological impairments, abnormal binocular function, or accommodative components, to ensure stable alignment over time.