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Early-onset accommodative esotropia

J D Baker, M M Parks

American Journal of Ophthalmology

|July 1, 1980

Summary

This summary is machine-generated.

Early-onset esotropia in infants, diagnosed before 12 months, often initially responds to anti-accommodative therapy. However, about half may progress to non-accommodative esotropia requiring surgery.

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Area of Science:

Ophthalmology
Pediatric Ophthalmology

Background:

Esotropia is a common strabismus in children.
Early-onset esotropia presents unique challenges in management.

Purpose of the Study:

To evaluate the efficacy of anti-accommodative therapy for esotropia diagnosed before 12 months of age.
To compare clinical findings in early-onset esotropia with later-onset accommodative esotropia.

Main Methods:

Retrospective analysis of 21 patients with esotropia diagnosed before 12 months.
Treatment included full hypermetropic spectacles or miotics, or both.
Comparison with a larger cohort of patients with later-onset accommodative esotropia.

Main Results:

Initial elimination of esotropia was achieved in all patients with anti-accommodative therapy.

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Approximately 50% of patients progressed to non-accommodative esotropia requiring surgery.

Most surgically treated patients required continued spectacle wear postoperatively.

Conclusions:

While anti-accommodative therapy is effective initially for early-onset esotropia, a significant proportion may require surgery.
Long-term management, including spectacle correction, is often necessary even after surgical intervention.