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Cyclic "V" esotropia
1Squint Clinic, Grewal Eye Institute, Chandigarh, India.
Journal of Pediatric Ophthalmology and Strabismus
|April 20, 2004
Summary
Cyclic esotropia in a young girl was successfully treated with horizontal rectus muscle surgery and inferior oblique muscle recession. This surgical approach effectively cured the esotropia, inferior oblique overaction, and V pattern.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Strabismus Surgery
Background:
- Cyclic esotropia is a rare form of intermittent strabismus characterized by a periodic inward turning of the eye.
- Inferior oblique overaction and V-pattern strabismus can coexist with esotropia, complicating management.
Observation:
- A pediatric patient presented with cyclic esotropia accompanied by cyclic inferior oblique overaction and a V-pattern deviation.
- The patient's condition indicated a complex interplay of vertical and horizontal muscle imbalances.
Findings:
- Surgical intervention involving recession-resection of the horizontal rectus muscles was performed.
- Simultaneous recession of the inferior oblique muscles was also executed as part of the surgical plan.
Implications:
- The combined surgical technique effectively resolved the cyclic esotropia.
- This approach also successfully corrected the associated inferior oblique overaction and V-pattern strabismus, offering a comprehensive solution.