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Related Experiment Video

Updated: Jun 6, 2026

Correction of Presbyopia by Monocular Bi-Aspheric Ablation Profile
05:46

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Published on: September 20, 2024

Refractive accommodative esotropia following monocular patching.

Arif O Khan

    The American Orthoptic Journal
    |December 15, 2010
    PubMed
    Summary

    Monocular patching in a young girl after eye surgery caused new-onset esotropia (inward eye turn). Prompt prescription of glasses corrected the condition, highlighting the risks of patching in susceptible children.

    Area of Science:

    • Ophthalmology
    • Pediatric Ophthalmology
    • Strabismus

    Background:

    • Refractive accommodative esotropia is an inward turning of the eyes related to farsightedness.
    • Monocular occlusion (patching) is commonly used to treat amblyopia but can have unintended consequences.

    Purpose of the Study:

    • To report a case of new-onset refractive accommodative esotropia in a child following monocular occlusion of the right eye (OD).

    Main Methods:

    • A retrospective case report of a 4-year-old girl.
    • Analysis of visual acuity, ocular alignment, and refractive error before and after monocular patching.

    Main Results:

    • The patient developed a variable right inward eye turn and diplopia after 5 days of patching OD.

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  • Cycloplegic refraction revealed +3.00 diopters in both eyes (OU).
  • Full-time spectacle correction resolved the esotropia, leaving only a small esophoria.
  • Conclusions:

    • Perioperative eye examinations including motility assessment and cycloplegic refraction are crucial for children undergoing surgery.
    • Minimizing monocular patching in susceptible children is recommended to prevent disruption of binocular vision.