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Accommodative esotropia after ocular and head injury.
1Section of Ophthalmology, Scottish Rite Children's Hospital, Atlanta, Georgia.
American Journal of Ophthalmology
|February 15, 1990
Summary
Traumatic brain or eye injuries can cause acquired accommodative esotropia in children. Spectacle correction, including bifocals for high convergence ratios, effectively managed ocular alignment in these unique cases.
Area of Science:
- Ophthalmology
- Pediatric Neurology
- Neuro-ophthalmology
Background:
- Traumatic injuries to the eye or head can lead to various visual dysfunctions.
- Acquired strabismus, particularly esotropia, can manifest following such trauma.
Observation:
- Five children presented with a loss of motor fusion post-traumatic injury.
- Accommodative esotropia developed within two months of the traumatic event in all patients.
- Pre-injury ocular alignment was normal, indicating a new onset of the condition.
Findings:
- Ocular alignment was successfully controlled using corrective spectacles that addressed accommodative needs.
- One patient exhibited a high accommodative convergence to accommodation ratio, managed with bifocal spectacles.
- The study highlights a unique cohort of patients with post-traumatic acquired accommodative esotropia.
Implications:
- This suggests a potential link between head/eye trauma and the development of acquired accommodative esotropia.
- Spectacle correction is a viable management strategy for this condition.
- Further research into the neurophysiological mechanisms underlying post-traumatic accommodative esotropia is warranted.