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Related Experiment Videos

Consecutive accommodative esotropia.

E L Raab

    Journal of Pediatric Ophthalmology and Strabismus
    |March 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    This study found that some patients develop accommodative esotropia after surgery for intermittent exotropia, often with a persistent high distance/near relationship. Management included optical or drug treatment, though many cases later worsened.

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    Area of Science:

    • Ophthalmology
    • Strabismus Surgery
    • Pediatric Ophthalmology

    Background:

    • Accommodative esotropia is a form of inward eye turning linked to focusing effort.
    • Intermittent exotropia is an outward turning of the eye that is sometimes controlled.
    • Previous surgery for strabismus can sometimes lead to unintended complications.

    Purpose of the Study:

    • To report on a series of patients who developed accommodative esotropia after surgical correction of intermittent exotropia.
    • To analyze the characteristics and outcomes of consecutive accommodative esotropia.
    • To investigate potential contributing factors and predictive indicators for this complication.

    Main Methods:

    • Retrospective case review of nine patients with consecutive accommodative esotropia post-exotropia surgery.

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  • Analysis of surgical procedures, including lateral rectus recession and recession/resection.
  • Evaluation of distance/near relationships, optical/drug management, and long-term outcomes.

    • Main Results:

    • Nine patients developed accommodative esotropia after intermittent exotropia surgery, predominantly with a divergence excess pattern.
    • All cases exhibited an abnormally high distance/near esotropia relationship.
    • While initially controlled with optical or drug therapy, six patients experienced later deterioration. Surgical overcorrection was not a primary factor.

    Conclusions:

    • Consecutive accommodative esotropia can occur after intermittent exotropia surgery, characterized by a persistent high distance/near relationship.
    • Standard preoperative tests like occlusion or the +3.00 D test did not reliably predict this complication.
    • Further research is needed to understand and predict this specific surgical outcome.