The authors report two cases of suddenly deteriorated accommodative esotropia with amblyopia during part-time occlusion therapy. A 7-year-old girl with right accommodative esotropia, which was well controlled, showed marked increase in esodeviation after part-time occlusion and regained orthophoria without occlusion. This phenomenon was repeated. Recession of both medial recti was performed and...

A 27 year old female presented with symptoms of diplopia, headache, ptosis, ataxia, and macropsia. She was subjected to extensive and repetitive medical evaluations on 3 separate occasions over a 2 year period resulting in a delay in diagnosis, expense of the evaluations and unnecessary treatment. Ophthalmologic consultation uncovered a delayed onset of refractive accommodative esotropia. Signs...

PURPOSE This study reports the outcomes of strabismus surgery to eliminate bifocals in patients with accommodative esotropia with a high accommodative convergence to accommodation (AC:A) ratio. DESIGN Retrospective interventional case series. METHODS Sixteen patients who wore bifocals for treatment of accommodative esotropia with a high AC:A ratio underwent strabismus surgery following pris...

Purpose: To ascertain an examination interval that will not increase the risk of untimely detection of decompensation of accommodative esotropia whether or not initial nonoperative treatment must be supplemented. Methods: The records of 63 patients with controlled accommodative esotropia examined at 3to 6-month intervals were reviewed for age at first control, the occurrence of decompensation, ...

BACKGROUND The use of medial rectus pulley posterior fixation sutures to treat esotropia with convergence excess has limited support in the literature. We describe our results using this technique to treat patients with large near-distance disparities. METHODS We retrospectively analyzed records of patients with accommodative or partially accommodative esotropia and convergence excess 13(Δ) o...

PURPOSE Previous studies of accommodative esotropia have been hampered by bias-prone methods of data collection and analysis and by small sample size. The studies have conflicting conclusions, causing uncertain results. This study aims to determine long-term results of standard treatment of accommodative esotropia and identify predictors of outcome, while minimizing bias in data collection and ...

AIM To examine outcome among children with refractive accommodative esotropia. METHODS Children with accommodative esotropia associated with hyperopia were included in the study. The features studied were ocular alignment, amblyopia, and the response to treatment, binocular single vision, requirement for surgery, and the change in refraction with age. RESULTS 103 children with refractive ac...

Acute acquired comitant esotropia has been used to describe a dramatic onset of a relatively large angle of esotropia with diplopia and minimal refractive error. We describe six children aged 5 to 11 years who developed an acute non-accommodative esotropia with diplopia. Neurological examination, including CT scan, in each of these children gave negative results. We suggest that this is an unus...

In clinical diagnosis, we often imbue medical disorders with distinct personalities based on a constellation of findings with little understanding of their underlying causes. Our purpose here is to juxtapose intermittent exotropia and accommodative esotropia and to consider the possibility that they represent a continuum of horizontal deviation, rather than distinct mechanisms of disease. Over ...