Journal article
Early Onset of Acquired Comitant Non-Accommodative Esotropia in Childhood
Klinische Monatsblätter für Augenheilkunde, Vol.229(4), pp.357-361
04/01/2012
DOI: 10.1055/s-0031-1299237
PMID: 22496003
Abstract
Background: The aim of this study was to describe the clinical characteristics and surgical outcome of acquired comitant non-accommodative esotropia without obvious cause in children with an early onset <= three years of age.
Patients and Methods: 24 consecutive patients (13 females) with acquired comitant non-accommodative esotropia underwent strabismus surgery. Outcome measures included amount of deviation and level of binocularity at last follow-up.
Results: An acute onset of strabismus was observed in 83 % of patients. Accompanying features such as diplopia, covering one eye or stumbling were observed in 40 % of the children. Cycloplegic retinoscopy revealed a mild to moderate hypermetropia in all children (mean hypermetropia + 2.2 diopters). 90.5 % of children were aligned within 8 PD of orthotropia. 81 % regained normal stereovision (Lang I/II).
Conclusions: All children exhibited the typical features of acute acquired comitant esotropia (AACE) type II (Burian-Franceschetti). Collective characteristics of this form of strabismus are a comitant and relatively large deviation, mild hypermetropia, a potential of normal binocular cooperation and absence of an accommodative component and neurological pathology. Time and suddenness of strabismus onset may be less helpful in defining this entity.
Details
- Title: Subtitle
- Early Onset of Acquired Comitant Non-Accommodative Esotropia in Childhood
- Creators
- V. Sturm - Universität HamburgM. N. Menke - University of ZurichM. Toeteberg - University of ZurichG. P. Jaggi - Kantonsspital AarauC. Schoeffler - Universität Hamburg
- Resource Type
- Journal article
- Publication Details
- Klinische Monatsblätter für Augenheilkunde, Vol.229(4), pp.357-361
- Publisher
- Thieme Medical Publishers
- DOI
- 10.1055/s-0031-1299237
- PMID
- 22496003
- ISSN
- 0023-2165
- eISSN
- 1439-3999
- Number of pages
- 5
- Language
- English
- Date published
- 04/01/2012
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9984696727702771
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