Early onset of acquired comitant non-accommodative esotropia in childhood

Publication

Early onset of acquired comitant non-accommodative esotropia in childhood

Journal Paper/Review - Apr 11, 2012

Sturm Veit, Menke M N, Töteberg M, Jaggi G P, Schoeffler C

Citation

Sturm V, Menke M, Töteberg M, Jaggi G, Schoeffler C. Early onset of acquired comitant non-accommodative esotropia in childhood. Klin Monbl Augenheilkd 2012; 229:357-61.

Type

Journal Paper/Review (English)

Journal

Klin Monbl Augenheilkd 2012; 229

Publication Date

Apr 11, 2012

Issn Electronic

1439-3999

Pages

357-61

Brief description/objective

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.