March 2012
Volume 53, Issue 14
Free
ARVO Annual Meeting Abstract  |   March 2012
Early Onset Of Acquired Comitant Nonaccomodative Esotropia In Childhood
Author Affiliations & Notes
  • Veit Sturm
    Ophthalmology, University of Zurich, Zurich, Switzerland
  • Marcel N. Menke
    Ophthalmology, University of Zurich, Zurich, Switzerland
  • Corinna Schoeffler
    Ophthalmology, University of Hamburg, Hamburg, Germany
  • Footnotes
    Commercial Relationships  Veit Sturm, None; Marcel N. Menke, None; Corinna Schoeffler, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science March 2012, Vol.53, 1761. doi:
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      Veit Sturm, Marcel N. Menke, Corinna Schoeffler; Early Onset Of Acquired Comitant Nonaccomodative Esotropia In Childhood. Invest. Ophthalmol. Vis. Sci. 2012;53(14):1761.

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Abstract

Purpose: : To describe the clinical characteristics and surgical outcome of acquired comitant non-accommodative esotropia without obvious cause in children with early onset ≤ three years of age.

Methods: : 24 consecutive patients (13 females) with acquired comitant non-accommodative esotropia underwent strabismus surgery. Outcome measures included amount of deviation and level of binocularity at last follow-up.

Results: : An acute onset of strabismus was observed in 83% of patients. Accompanying features such as diplopia, covering one eye or stumbling were observed in 40% of the children. Cycloplegic retinoscopy revealed a mild to moderate hypermetropia in all children (mean hypermetropia +2.2 diopters). 90.5% of children were aligned within 8 PD of orthotropia. 81% regained normal stereovision (Lang I/II).

Conclusions: : All children exhibited the typical features of acute acquired comitant esotropia (AACE) type II (Burian-Franceschetti). Collective characteristics of this form of strabismus are a comitant and relatively large deviation, mild hypermetropia, a potential of normal binocular cooperation and absence of an accommodative component and neurological pathology. Time and suddenness of strabismus onset may be less helpful in defining this entity.

Keywords: strabismus • strabismus: treatment • eye movements 
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