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[Cyclic esotropia in an adult]
Klinische Monatsblatter Fur Augenheilkunde
|June 1, 1984
Summary
This case study presents a rare adult-onset cyclic esotropia in a 46-year-old man, featuring unilateral high myopia and amblyopia. The condition involved 24-hour deviation periods with visual flicker.
Area of Science:
- Ophthalmology
- Neuro-ophthalmology
- Strabismus
Background:
- Cyclic esotropia is a rare form of strabismus typically diagnosed in early childhood (2-4 years).
- Adult-onset presentations are exceptionally uncommon, with very few documented cases.
Observation:
- A 46-year-old male presented with sudden onset of typical cyclic esotropia.
- The condition was characterized by 24-hour periods of eye deviation.
- Associated symptoms included unilateral high myopia and severe amblyopia in the affected eye, along with a noticeable flicker in the esotropic eye.
Findings:
- This case represents a highly unusual late-onset cyclic esotropia.
- The co-occurrence of high myopia and severe amblyopia in the squinting eye is a notable finding.
- The presence of visual flicker during deviation periods adds a unique characteristic to this adult case.
Implications:
- This case expands the known clinical spectrum of cyclic esotropia.
- It highlights the importance of considering rare strabismus forms in adult-onset visual disturbances.
- Further research may be warranted to understand the pathophysiology of adult-onset cyclic esotropia and its associated features.