Recording of disparity vergence in comitant esotropia

Vergence movements induced by base-out prisms were recorded, with an infrared eye movement recording system, in 5 patients with comitant esotropia and anomalous retinal correspondence and in 5 normal volunteers. The findings support the hypothesis that vergence movements in strabismus are induced by disparity, since accommodative as well as proximal vergence had been ruled out. Vergence movements are much slower and with different characteristics in strabismic patients with respect to normals. It may be argued that vergence movements represent the motor fusion component left over in strabismus. They may be considered the objective representation of the well-known phenomenon of prism compensation or adaptation, found in many strabismic patients.