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Common forms of childhood esotropia
1Division of Ophthalmology, Department of Surgery and the Department of Pediatrics, East Tennessee State University, James H. Quillen College of Medicine, Box 70575, Johnson City, TN 37614, USA. mohney@etsu.edu
Ophthalmology
|April 12, 2001
Summary
Accommodative esotropia is the most common form of childhood eye misalignment, affecting over half of young patients. Congenital esotropia is significantly less common than other types.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Strabismus Research
Background:
- Childhood esotropia encompasses various subtypes with differing etiologies and prognoses.
- Understanding the prevalence of each type is crucial for diagnosis and treatment planning.
Purpose of the Study:
- To identify and quantify the most frequent forms of esotropia in children under 11 years of age.
- To establish the relative frequency of different esotropia subtypes in a defined pediatric population.
Main Methods:
- Prospective, consecutive, observational case series.
- Evaluation of 221 esotropic children under 11 years without prior surgery.
- Collection of demographic and clinical data.
Main Results:
- Accommodative esotropia was the most prevalent form, diagnosed in 52.9% of patients.
- Central nervous system abnormalities (17.2%) and acquired nonaccommodative esotropia (10.4%) were the next most common.
- Congenital esotropia was relatively uncommon (5.4%).
Conclusions:
- Accommodative esotropia significantly outweighs congenital esotropia in frequency among young patients.
- Esotropia associated with CNS defects or acquired nonaccommodative deviations are more common than congenital forms.
- Paralytic and sensory esotropia were found to be relatively rare in this cohort.
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