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Related Experiment Videos

Clinical course of accommodative esotropia

R P Rutstein1, W Marsh-Tootle

  • 1Department of Optometry, University of Alabama at Birmingham, USA.

Optometry and Vision Science : Official Publication of the American Academy of Optometry
|March 21, 1998
PubMed
Summary

Accommodative esotropia often persists into adolescence, with many patients remaining esotropic even with corrective lenses. Regular monitoring is crucial as hyperopia may not resolve, and strabismus can reoccur.

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Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Strabismus Management

Background:

  • Accommodative esotropia is a common form of strabismus in children, linked to hyperopia.
  • Its resolution during adolescence is often assumed but requires clinical validation.

Purpose of the Study:

  • To track the clinical progression of accommodative esotropia.
  • To ascertain if this strabismus resolves naturally during adolescent years.

Main Methods:

  • Retrospective analysis of patients diagnosed with accommodative esotropia between 1983-1991.
  • Re-examination included visual acuity, ocular alignment, sensory fusion, and refractive error assessment.
  • Comparison of initial findings with data from a follow-up recall visit.

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Main Results:

  • 42.8% of patients remained esotropic at distance and/or near, even with optical correction.
  • Without correction, 82% of patients exhibited esotropia or heterophoria.
  • Good sensory fusion and stereopsis were maintained in most patients.

Conclusions:

  • Accommodative esotropia frequently persists into adolescence and early adulthood.
  • Patients require ongoing monitoring due to potential recurrence and unresolving hyperopia.
  • Early intervention and consistent follow-up are vital for managing this condition.