Partially Accommodative Esotropia Manifesting as Cyclic Esotropia: A Case Study

Purpose: Cyclic esotropia is a rare disease with alternating cycles of recurrent that has been reported after strabismus surgery, head trauma, and psychological stress. We report patient who presented accommodative deteriorated to cyclic was managed successfully.Case Summary: A 2-year-old girl no previous ophthalmological or neurological illnesses esotropia. The alternate prism cover test showed 16 diopters (PD) during distance near fixation, cycloplegic refraction +2.00 (D) right eye +1.50 D left eye. Under the impression esotropia, she prescribed glasses fully correct her refraction. Nine months later, 14 PD hyperopic correction. Her parents also complained had ‘non-squinting’ ‘squinting’ days. history clinical findings suggested asked start daily diary documenting presence absence squint. This revealed alternated on 24-hour cycle. With diagnosis underwent medial rectus recession. Postoperatively, angle esodeviation improved orthotropia (near distance) stereoacuity restored; this maintained at 1-year follow-up.Conclusions: squint in patients complain even correction, important. often responds well surgical management.