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Acute acquired comitant esotropia.

H D Goldman, L B Nelson

    Annals of Ophthalmology
    |December 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Acute acquired comitant esotropia can suddenly develop in children, causing double vision. Surgical intervention, specifically bimedial recession, effectively corrected the eye alignment in two pediatric cases.

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    Area of Science:

    • Ophthalmology
    • Pediatric Ophthalmology
    • Strabismus Surgery

    Background:

    • Acute acquired comitant esotropia presents with sudden onset of significant inward turning of the eyes (esotropia).
    • This condition typically occurs in children and is associated with double vision (diplopia) and minimal refractive error.
    • Differentiating it from other causes of esotropia is crucial for appropriate management.

    Observation:

    • Two pediatric patients, aged 4.5 and 6.5 years, presented with sudden onset nonaccommodative comitant esotropia.
    • No history of trauma or febrile illness was reported.
    • Neurological examinations, including CT scans and Tensilon testing, were unremarkable, ruling out significant neurological pathology.

    Findings:

    • The patients developed a substantial angle of esotropia without a clear underlying cause.

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  • The esotropia was nonaccommodative, indicating it was not primarily related to focusing effort.
  • Bimedial recession surgery resulted in satisfactory alignment of the eyes.

    • Implications:

    • Bimedial recession is a viable surgical option for treating acute acquired comitant esotropia in children.
    • Prompt surgical intervention can restore binocularity and improve visual outcomes.
    • Further research may elucidate the specific etiology of this condition in pediatric populations.