Convergence excess esotropia is a condition characterized by an esotropia which is greater for near than for distance fixation. Many surgical approaches were described to treat it including unilateral or bilateral medial rectus recession, augmented recession, posterior fixation sutures, marginal myotomy, slanted recession or various combinations of them. The aim of study was to evaluate the efficacy on the postoperative angle for far and for near and the use of bifocals as well as evaluating the stability of postoperative results over follow up period of 6 months. Patients were divided into Group A (10) patients underwent posterior fixation sutures (Faden procedure) at 12-14 mm with or without bilateral symmetrical medial rectus recession. And Group B (10) patients underwent bilateral symmetrical slanted recession of the medial rectus muscles. At the last follow up 6 months post-operative the results of group A were better, with 100% showing satisfactory alignment for near and distance. On the other hand group B 80% of cases successful for far and only 60% successful for near with 10% exotropic for near In conclusion, the results of both groups in our study were satisfactory. Patients who had posterior fixation sutures had a higher success rate and were more stable.