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Acute concomitant esotropia of adulthood
1Goldschleger Eye Institute, Sheba Medical Center, Tel-Hashomer, Israel. spierera@post.tau.ac.il
Ophthalmology
|May 17, 2003
Summary
Adults developing acute concomitant esotropia are typically myopic. Surgical intervention effectively restores normal stereopsis, suggesting this condition warrants classification as a distinct subgroup.
Area of Science:
- Ophthalmology
- Strabismus Research
- Adult Eye Conditions
Background:
- Acute-onset concomitant esotropia in adults is a rare condition.
- Understanding its characteristics is crucial for diagnosis and management.
Purpose of the Study:
- To define the clinical characteristics of adult patients who develop acute concomitant esotropia.
- To identify potential risk factors and associated conditions.
Main Methods:
- Retrospective case series of 10 adult patients diagnosed with acute-onset concomitant esotropia.
- Review of patient charts, ocular examinations, physical examinations, and imaging (CT scans).
- Measurement of esotropia angle using prism and cover test.
Main Results:
- The average age of patients was 38 years, with 90% being myopic (mean refractive error -4.1 D).
- The mean angle of esotropia was 33.8 prism diopters.
- All patients achieved orthophoria or minimal esophoria post-surgery, with normal stereopsis (40 arc seconds).
Conclusions:
- Acute concomitant esotropia in adults is strongly associated with myopia.
- Surgical correction leads to favorable outcomes, including the restoration of binocular vision.
- This condition may represent a distinct clinical entity within the spectrum of esotropia.