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 study the prevalence and characteristics of accommodative esotropia (aet). methods: in a descriptive analytic study records of all patients referred from 1383 to 1388 to the strabismus clinic at nikookari eye center were reviewed and demographic data such as age, gender, refractive error, type of aet, mean deviation and amblyopia were analyzed. results: a total of 2,146 patients wer...

OBJECTIVE To determine the effectiveness of a botulinum toxin type A injection in both medial rectus muscles in patients with partially accommodative esotropia. Residual deviation and stability of strabismus were evaluated at 18 months follow up. METHOD A prospective, analytical, quasi-experimental study was conducted on a cohort of 21 patients who underwent total cycloplegic refraction and w...

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, ...

Purpose: To investigate the usefulness of atropine (Isopto 1% eye drops®; Alcon, Fort Worth, TX, USA) for cycloplegic refraction in patients with partially accommodative esotropia.Methods: We retrospectively analyzed medical records esotropia who underwent using both cyclopentolate and at Pusan National University Hospital between November 2017 December 2020. Patients replaced their glasses aft...

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 ...

BACKGROUND The differential diagnosis between fully and partially refractive accommodative esotropia (Ac-ET) depends on outcomes after intervention with refraction correction. Whether the differences exist in terms of initial clinical features between these two variants has not been fully explored. METHODS Children between the ages of 6 months and 8 years with esotropia and spherical equivale...

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...