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Updated: Jul 18, 2026
08:18
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Acute acquired comitant esotropia after orbital cellulitis.
Kui Dong Kang1, Seung Min Kang, Hye Bin Yim
1Department of Ophthalmology, St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Summary
Orbital cellulitis can precede acute comitant esotropia in children, a rare condition. This case highlights an unusual presentation of esotropia without myositis or neurologic issues.
Area of Science:
- Ophthalmology
- Pediatric Neurology
- Infectious Diseases
Background:
- Acute extraocular muscle restriction in children is uncommon, with orbital myositis being the most frequent etiology.
- Neuropathic or myopathic origins of strabismus typically manifest as incomitant deviations.
Observation:
- A pediatric patient presented with acute comitant esotropia.
- The esotropia was preceded by symptoms of orbital cellulitis.
Findings:
- The patient exhibited no clinical or diagnostic evidence of orbital myositis.
- Neurologic examination and investigations ruled out underlying neurologic pathology.
Implications:
- Orbital cellulitis should be considered in the differential diagnosis of acute comitant esotropia in children.
- This case expands the understanding of potential causes for acute strabismus in pediatric populations.
- Further research may elucidate the pathophysiological link between orbital infections and sudden-onset comitant esotropia.
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