Congenital double elevator palsy with sensory exotropia: A u
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The aim of this article was to report a unique surgical approach for congenital double elevator palsy with sensory exotropia.
A 7-year-old boy with congenital double elevator palsy and sensory exotropia was managed surgically by Callahan's procedure with recession and resection of the horizontal recti for exotropia without inferior rectus recession, followed by frontalis sling surgery for congenital ptosis. The favorable surgical outcome was achieved without any complication.We conclude that Callahan's procedure without IR recession is a safe and effective procedure along with recession and resection of the horizontal recti in cases of XT with DEP. Such a surgical procedure can be considered prior to surgical intervention for the associated congenital ptosis in view of obtaining correct and precise quantitative assessment of the eyelid position after elevating the globe.

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