The visual prognosis in pediatric open globe injury is poor. The zone of injury may correlate with poor final visual acuity, risk of retinal detachment, and subsequent need for an enucleation. The final predicted visual acuity correlated well with the observed final visual acuity in these patients.
SUMMARY 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 unusual presentation of esotropia of undetermined aetiology. The diagnosis, clinical characteristics, and management are discussed.Acute acquired comitant esotropia (AACE) is an unusual presentation of esotropia which occurs in older children and adults. It is characterised by acute onset of esotropia with diplopia. The refractive error is insignificant and neurological examination gives normal results. The purpose of this paper is to discuss the diagnosis and management of this' unusual condition in children.
Patients and methods
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