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Related Experiment Videos

Persisting accommodative esotropia.

E L Raab, A Spierer

    Archives of Ophthalmology (Chicago, Ill. : 1960)
    |December 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Accommodative esotropia often persists beyond age 10, with clinical features like hyperopia or strabismus history not predicting resolution. Many cases resolve unpredictably, challenging typical age-based expectations for this eye condition.

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    Area of Science:

    • Ophthalmology
    • Pediatric Ophthalmology
    • Strabismus Research

    Background:

    • Accommodative esotropia is a common form of childhood eye misalignment.
    • Typical resolution is expected by ages 10-12, but persistence is observed.
    • Predictive factors for delayed resolution remain unclear.

    Purpose of the Study:

    • To investigate the persistence of accommodative esotropia beyond typical resolution age.
    • To evaluate if clinical features predict timely or delayed disappearance of the condition.
    • To analyze the impact of accommodative convergence/accommodation ratio and refractive error changes.

    Main Methods:

    • Retrospective analysis of 202 patients with accommodative esotropia.
    • Assessment of age at resolution and associated clinical findings.

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  • Statistical comparison of patient subgroups based on clinical characteristics.

    • Main Results:

    • Over half of patients persisted with accommodative esotropia after age 10.
    • No discrete age of improvement was identified.
    • Initial hyperopia, changes in hyperopia, inferior oblique overaction, dissociated vertical deviation, and family history did not predict persistence.

    Conclusions:

    • Accommodative esotropia frequently persists beyond childhood.
    • Clinical features commonly assessed do not reliably predict resolution timing.
    • Management strategies may need to account for unpredictable resolution patterns.