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Myopia is associated with various types of strabismus including concomitant exotropia or esotropia and incomitant strabismus fixus. The aim of this study was to study the surgical dosage required in patients with simple myopic esotropia for successful restoration of alignment. Simple myopic esotropia is esotropia associated with low to moderate myopia that is concomitant and worse for distance than near with a reduced or absent base in fusion range.This is a retrospective study with 36 patients (14 males and 22 females) with a mean age of 43.5 years ( SD 18.2 ; range 9 - 78 years) with myopic esotropia. All patients underwent an ophthalmic and orthoptic assessment including assessment of the angle of deviation at near and distance fixation. They underwent surgical intervention in the form of bilateral medial rectus recession (26 patients), unilateral MR recession (9 patients) and unilateral recess/resect (1 patient). The amount of surgery in mm per muscle was noted and they all had a postoperative evaluation with a repeat orthoptic evaluation as above.The patients included had a mean spherical equivalent of –4.30 DS in the right eye (SD 2.7) and –4.30 DS in the left eye (SD 2.5). The average pre operative deviation for near was 21.75 prism dioptres (SD 14.3) and 24 prism dioptres (SD 12.49) for distance, the base out fusion range was characteristically high in the majority of the patients with average of 17.4 prism dioptres (SD 16.7) as opposed to a low base in fusion range with average of 2.27 prism dioptres (SD 3.29). We used an enhanced surgical dosage for these patients of double the usual surgical numbers. All patients demonstrated improvement in diplopia postoperatively, their average postop deviation for near being 0.61 prism dioptres (SD 7.03) and 1.77 prism dioptres (SD 5.7) for distance.The average amount of surgical correction for our patients was 2.1 prism dioptre/mm of surgery for near (SD 1.03) and 2.4 prism dioptre/mm of surgery for distance (SD 0.75).We recommend a higher amount of surgical correction per prism dioptre of deviation in patients with myopic esotropia to achieve a better outcome.