Acute acquired comitant esotropia: A prospective study

Abstract

Decompensation of a pre-existing phoria or monofixation syndrome appears the commonest aetiology. Prescription of the full hypermetropic correction found at cycloplegic refraction forms an essential part of initial management. No single clinical sign can reliably indicate the rare patient harbouring a tumour. A high index of suspicion should be maintained and neuro-imaging considered in the absence of expected findings such as hypermetropia or fusion potential or in the presence of atypical features or neurological signs.

Long-term follow-up of children with acute acquired concomitant esotropia

“…The patients with AACE type 2 constituted \1% of all surgically treated strabismus cases at our institution, which is similar to previously reported rates. 5, 6 Burian 11 and Miller 1 are generally acknowledged to have undertaken pivotal work in the field of acute-onset esotropia. Nevertheless, Burian's 8 AACE type 2 patients themselves were a heterogeneous group.…”

“…[3][4][5][6][7][8] However, a high percentage of high-grade stereopsis has been found in some case series. Savino and colleagues 8 reported on the 1-year follow-up of 5 patients with AACE type 2 and achieved good stereoacuity (30 00 to 60 00 ) in all their patients.…”

“…1,2 Treatment options include prisms, botulinum toxin therapy, and, most commonly, strabismus surgery; however, the level of binocularity achieved by different patients varies markedly. [3][4][5][6][7][8] Most previous reports presented only small case series 3,8,9 or even single cases with AACE type 2. 5, 6 We set out to ascertain the clinical features and surgical outcome of AACE type 2 in a larger case series of children with specific attention to the longterm follow-up.…”

“…[3][4][5][6][7][8] Most previous reports presented only small case series 3,8,9 or even single cases with AACE type 2. 5, 6 We set out to ascertain the clinical features and surgical outcome of AACE type 2 in a larger case series of children with specific attention to the longterm follow-up. In addition, we aimed to identify general characteristics of AACE type 2 that distinguish it from other forms of childhood esotropia.…”

Acute concomitant esotropia of adulthood

“…The success rate in re-establishing good stereoscopic vision after surgery in this group of patients is high, unlike in children described as having esotropia of acute onset. 6,8,9 …”