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Cerebellar astrocytoma manifesting as isolated, comitant esotropia in childhood
J W Simon1, J B Waldman, K C Couture
1Department of Ophthalmology, Albany Medical College, NY 12203, USA.
American Journal of Ophthalmology
|May 1, 1996
Abstract
Purpose:
We encountered a 4 1/2-year-old girl with gradual onset of intermittent, comitant esotropia in the absence of diplopia and other neurologic findings.
Methods:
Because of the patient's relatively advanced age and lack of response to hyperopic correction for accommodative esotropia, computed tomography of the head was performed.
Results:
A large cerebellar astrocytoma was identified and successfully resected. After strabismus surgery, fusion was reestablished.
Conclusions:
The onset of comitant esotropia in an older child may indicate an underlying neurologic disorder.