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Convergence Excess Esotropia: Review.

Ahmed Awadein1, Jylan Gouda1, Hala Elhilali1

  • 1Faculty of Medicine, Cairo University, Cairo, Egypt.

Journal of Binocular Vision and Ocular Motility
|November 6, 2023
PubMed
Summary
This summary is machine-generated.

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Convergence excess esotropia, a misalignment of the eyes, often requires surgery. This review details surgical strategies for managing this condition, aiming to improve outcomes for patients.

Area of Science:

  • Ophthalmology
  • Strabismus Management
  • Pediatric Eye Care

Background:

  • Convergence excess esotropia involves greater inward eye turn at near than distance.
  • It's classified by AC/A ratio into accommodative and non-accommodative types.
  • Bifocal glasses offer limited success, often necessitating surgical intervention.

Purpose of the Study:

  • To review and summarize surgical outcomes for convergence excess esotropia.
  • To provide an algorithm for managing patients with this condition.
  • To evaluate strategies addressing the angle of deviation variability.

Main Methods:

  • Review of surgical outcomes for various strabismus surgical techniques.
  • Analysis of strategies including medial rectus recession, myotomy, and muscle fixation.
Keywords:
Convergence excessaugmented recessioncombined recession resectiondistance-near disparityfadenhigh AC/Anear-distance disparitypulley fixationslanting recession

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  • Comparison of approaches based on distance, near, or adapted angle targets.

    • Main Results:

    • Surgery is frequently required for convergence excess esotropia.
    • Various surgical techniques exist, with differing approaches to managing deviation variability.
    • Outcomes vary, highlighting the need for tailored treatment algorithms.

    Conclusions:

    • Effective surgical management of convergence excess esotropia requires careful consideration of deviation variability.
    • An evidence-based algorithm can guide treatment selection.
    • Further research into optimizing surgical outcomes is warranted.