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Early onset of acquired comitant non-accommodative esotropia in childhood

Sturm, V; Menke, M N; Töteberg, M; Jaggi, G P; Schoeffler, C (2012). Early onset of acquired comitant non-accommodative esotropia in childhood. Klinische Monatsblätter für Augenheilkunde, 229(4):357-361.

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.

Additional indexing

Other titles:In früher Kindheit erworbene konkomitante nicht akkommodative Esotropie
Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Ophthalmology Clinic
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > Ophthalmology
Language:English
Date:2012
Deposited On:14 Nov 2012 09:52
Last Modified:08 Nov 2024 02:35
Publisher:Thieme
ISSN:0023-2165
OA Status:Closed
Publisher DOI:https://doi.org/10.1055/s-0031-1299237
PubMed ID:22496003

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