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Early-onset accommodative esotropia.

S A Havertape1, C R Whitfill, O A Cruz

  • 1Saint Louis University Eye Institute, Missouri, USA.

Journal of Pediatric Ophthalmology and Strabismus
|April 16, 1999
PubMed
Summary
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Infantile accommodative esotropia is present in 15% of infantile esotropia cases and 8% of accommodative esotropia cases. Spectacles can fully correct hyperopia of +2.25 diopters or greater, suggesting antiaccommodative therapy before surgery.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Strabismus

Background:

  • Infantile esotropia is a common form of strabismus in infants.
  • Accommodative esotropia is a type of eye misalignment linked to focusing ability.

Purpose of the Study:

  • To determine the frequency of accommodative esotropia with onset by 6 months of age.
  • To assess if infantile esotropia characteristics aid diagnosis.
  • To evaluate the efficacy of antiaccommodative therapy for esotropia.

Main Methods:

  • Reviewed charts of 100 infantile esotropia patients over 2 years.
  • Identified patients with at least +2.25 diopters (D) of hyperopia.
  • Assessed associated conditions and success of antiaccommodative therapy.

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Main Results:

  • 15% of infantile esotropia patients had ≥ +2.25 D hyperopia.
  • This represented 8% of all accommodative esotropia patients.
  • 40% of these patients achieved full correction with spectacles, indicating spectacles are effective.

Conclusions:

  • Infantile accommodative esotropia occurs in 15% of infantile esotropia and 8% of accommodative esotropia cases.
  • Associated infantile esotropia features are less common.
  • Antiaccommodative therapy with spectacles should precede surgery for significant hyperopia (≥ +2.25 D).