Repeated surgery for acute acquired esotropia: is it worth the effort?

Publication

Repeated surgery for acute acquired esotropia: is it worth the effort?

Journal Paper/Review - May 1, 2010

Schöffler Corinna, Sturm Veit

Units

Department of Ophthalmology

PubMed

20037900

Citation

Schöffler C, Sturm V. Repeated surgery for acute acquired esotropia: is it worth the effort?. Eur J Ophthalmol 2010; 20:493-7.

Type

Journal Paper/Review (English)

Journal

Eur J Ophthalmol 2010; 20

Publication Date

May 1, 2010

Issn Print

1120-6721

Pages

493-7

Brief description/objective

PURPOSE
Good binocular potential has been a fundamental defining characteristic of acute acquired concomitant esotropia (AACE) type II. The purpose of this study was to ascertain the clinical features and surgical outcome in children with AACE type II who underwent repeated surgery for the sake of binocularity.

METHODS
In 4 children with AACE type II, repeated surgery was performed between 1995 and 2008. These cases are presented with special attention to their long-term follow-up and their binocularity outcome.

RESULTS
The final binocularity outcome was high-grade stereopsis (Lang I/II positive) in all 4 cases. The duration from onset of esotropia to the time of regained stereovision was between 20 and 62 months. In one case, high-grade stereoacuity was only achieved after a second surgery.

CONCLUSIONS
Our findings support the good binocular potential in patients with AACE type II. Despite a complicated course and long-lasting absence of stereovision, all patients eventually regained highgrade stereopsis. Resolutely aiming at realignment seems to be worth the effort.