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Accommodative esotropia following surgical treatment of infantile esotropia: frequency and risk factors

Onder Uretmen1, Baturhan B Civan, Suheyla Kose

  • 1Ophthalmology Department, School of Medicine, Ege University, Izmir, Turkey.

Acta Ophthalmologica
|November 28, 2007
PubMed

Insights

Nearly half of children with infantile esotropia developed accommodative esotropia after surgery. Risk factors include significant hyperopia and lack of dissociated vertical deviation, necessitating close monitoring and timely glasses correction.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Strabismus Surgery

Background:

  • Infantile esotropia is a common form of strabismus in young children.
  • Surgical correction is often necessary but can lead to secondary conditions.
  • Accommodative esotropia is a potential complication following surgery for infantile esotropia.

Purpose of the Study:

  • To determine the incidence of accommodative esotropia after infantile esotropia surgery.
  • To identify risk factors associated with the development of accommodative esotropia post-surgery.

Main Methods:

  • A cohort of 29 children treated surgically for infantile esotropia was analyzed.
  • Various potential risk factors were assessed, including refractive error, amblyopia, and surgical details.
  • Long-term postoperative follow-up was conducted to monitor for esotropia development.

Main Results:

  • Accommodative esotropia developed in 48.2% of children within 36-132 months post-surgery.
  • Refractive accommodative esotropia was more common than non-refractive.
  • Key risk factors identified were hyperopia of ≥3.0 D, increasing hyperopia, and absence of dissociated vertical deviation.

Conclusions:

  • Children with infantile esotropia and identified risk factors require vigilant follow-up.
  • Early detection and management with corrective lenses may mitigate adverse sensory and motor outcomes.
  • Understanding these risk factors aids in personalized patient management post-strabismus surgery.
Abstract

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