Comparative Study of the Faden Technique versus the Y split recession in management of Esotropia with Near- Distance disparity

Purpose: to compare the results of Faden Technique de Deker’s (Modified Cuppers) Versus the Y
split recession Technique of the medial rectus muscle in the management of Esotropia with Far Near
disparity. Patients and Methods: 40 patients with Esotropia who had beed diagnosed with
convergence excess or near far disparity after wearing their full cycloplegia refraction for 3 months
and still have Near- Distance Disparity Esotropia .The Patients were divided into two groups Group
(A) underwent de Deker’s Faden technique and Group (B) underwent Y split recession technique.
Results: The age distribution for Group ranged from 2.3 to 8.5 year, with a mean of 3.8 year (SD 7±7)
and for Group B ranged from 2.5 to 11 year, with a mean of 3.8 year (SD 7.3±7.2). (P=0.833). The
Study Included 40 patients with a mean angle of Near Esotropia with glasses 49.3±11 in Group A and 
49.7±11.8 in Group B. The mean angle of Distance Esotropia was 13.2±11 in Group A and 29.3±11 in
Group B (P <0.001). Immediately postoperatively both groups showed comparable satisfactory 
results in correction of distance esotropia; Group A showed (90%) and Group (B) showed (85%)
correction of the distance angle Esotropia (P = 0.819). And for the Near angle Esotropia Group A
showed Satisfactory results in (75%) and Group (B) showed (70%) success rate; (P = 0.749). As for
the unsatisfactory results, Group A showed one case residual ET at distance (5%), one consecutive
XT (5%) at distance But for Near Angle Group A showed residual ET in 5 cases (25%) and Group B
showed Residual ET in 6 cases (30%) Conclusion: both techniques Showed comparable satisfactory
results in correction of ET with Near-Distance Disparity. with the Y Split recession slightly more
effective 85% than Faden technique 80% on near Esotropia with long term satisfactory stable results
from both techniques.