Accommodative esotropia: the state of the art
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To review the state of the art of Accommodative Esotropia (AE) through careful study of what has been reported up to the point in literature.
A literature search was done on PubMed using key words including “Accommodative esotropia”, “Infantile esotropia”, “Strabismus” and “Accommodation”. We systematically reviewed and critically appraised what has been written about AE and we tried to analyze that according to the current management of AE.
Accommodative Esotropia (AE) is a form of strabismus characterized by convergent misalignment of the visual axes that can be associated with hyperopia and abnormal fusional divergence. Also abnormal accommodative convergence/accommodation ratio could be found. In lots of cases, AE initially presents as an intermittent esodeviation at age 1.5 to 4 years. The prevalence of AE has been estimated near 1-2% in the United States. The only treatment with an optical correction usually is successful in re-establishing alignment, but surgical correction is necessary in approximately 30% of cases.
KeywordsAccommodative esotropia Infantile esotropia Strabismus Accommodation Amblyopia
The study was supported in part by an unrestricted grant to MUSC-SEI from Research to Prevent Blindness, Inc., New York, NY.
Compliance with ethical standards
Conflict of interest
The authors have no financial or proprietary interest in any product mentioned herein.
Human and animals rights
This research does not involve some human participants and/or animals.
Informed consent has been not requested.
- 1.American Academy of Ophthalmology (2002) Pediatric ophthalmology and strabismus. American Academy of Ophthalmology, San FranciscoGoogle Scholar
- 8.Birch E, Fawcett S, Stager D (2000) Co-development of VEP motion response and binocular vision in normal infants and infantile esotropes. Investig Ophthalmol Vis Sci 41:1719–1723Google Scholar
- 9.Birch EE, Salomao S (1998) Infant random dot stereoacuity cards. J Pediatr Ophthalmol Strabismus 35:86–90Google Scholar
- 12.Weakley DR Jr, Birch EE (2000) The role of anisometropia in the development of accommodative esotropia. Trans Am Ophthalmol Soc 98:71–79Google Scholar
- 16.Donders FC (1864) On the anomalies of accommodation and refraction of the eye with a preliminary essay on physiological dioptrics. New Sydenham Society, London, p 292Google Scholar
- 19.Repka MX, Wellish K, Wisnicki HJ et al (1989) Changes in the refractive error of 94 spectacle treated patients with acquired accommodative esotropia. Binocul Vis 4:5–21Google Scholar
- 25.Von Noorden G (1996) Esodeviations, In: Von Noorden G (ed) Binocular vision and ocular motility, 5th edn. St Louis, C.V. Mosby, pp 303–308Google Scholar
- 28.Wright KW, Bruce-Lyle L (1993) Augmented surgery for esotropia associated with high hypermetropia. J Pediatr Ophthalmol Strabismus 30:167–170Google Scholar
- 30.Nucci P, Serafino M (2012) Oftalmologia pediatrica e strabismo. Fabiano EdGoogle Scholar
- 31.West CE, Repka MX (1994) A comparison of surgical techniques for the treatment of acquired esotropia with increased accommodative convergence/accommodation ratio. J Pediatr Ophthalmol Strabismus 31:232–237Google Scholar
- 34.Clark RA, Miller JM, Demer JL (2000) Three-dimensional location of human rectus pulleys by path inflections in secondary gaze positions. Investig Ophthalmol Vis Sci 41:3787–3797Google Scholar
- 43.Whright KW, Spiegel PH (2006) Pediatric ophthalmology and strabismus. Springer, BerlinGoogle Scholar
- 52.Tychsen L, Burkhalter A (1995) Neuroanatomic abnormalities of primary visual cortex in macaque monkeys with infantile esotropia: preliminary results. J Pediatr Ophthalmol Strabismus 32:323–328Google Scholar
- 53.Birch EE, Stager DR (1985) Monocular acuity and stereopsis in infantile esotropia. Investig Ophthalmol Vis Sci 26:1624–1630Google Scholar
- 57.Schiavi C, Benedetti P, Campos EC (1992) Botulinum toxin in essential infantile esotropia and in Lang’s normosensorial strabismus. In: Kaufmann H (ed) Trans of the 20th meeting of the european strabismological association. Giessen, pp 179–182Google Scholar
- 61.Guyton DL (2006) Changes in strabismus over time: the roles of vergence tonus and muscle length adaptation. In: de Faber J-J (ed) Strabismus 2006, proceedings of the joint congress. The 10th meeting of the international strabismological association and the first extraordinary meeting of CLADE. Rio de Janeiro: Cultura Medica, pp 7–34Google Scholar