Abstract
This study was undertaken to look at the development of accommodative esotropia, which occurs following the surgical correction of congenital esotropia. A restrospective review was done on all congenital esotropia patients operated on by one of the authors from 1974 through mid-1984. The criterion of a minimum of 3 years postsurgical follow-up was met by 101 patients. Of these patients, 52 developed accommodative esotropia, 25 within 3 months of surgery and 27 from 3 to 60 months after surgery. The average preoperative refractive error in the early group was +3.90 and +1.95 in the later group. The average time to develop accommodative esotropia in this group with later onset was 27 months following the initial surgery. It would appear that if the preoperative refractive error is +3.00 or more, and especially if the preoperative deviation responds to spectacles with a reduction of 15 prism diopters or more, then it is very likely that glasses will be required for accommodative esotropia very soon following surgery. There appear to be no clues as to which patients will need glasses later for accommodative esotropia.
Similar content being viewed by others
References
Costenbader FD (1961) Infantile esotropia. Trans Am Ophthalmol Soc 59: 397–429
Freely DA, Nelson LB, Calhoun JH (1983) Recurrent esotropia following early successful surgical correction in congenital esotropia. J Pediatr Ophthalmol Strabismus 20: 68–71
Ing M (1981) Early surgical alignment for congenital esotropia. Trans Am Ophthalmol Soc 79: 625–663
Nirenberg N, Mazow M (1985) The frequency and correction of accommodative esotropia following surgical corrective congenital esotropia. Binoc Vision 1: 71–76
Parks MM (1968) Infantile esotropia, summary and conclusions. Am Orthop J 18: 19–20
Author information
Authors and Affiliations
Additional information
Dedicated to Dr. G.K. von Noorden on the occasion of his 60th birthday
Rights and permissions
About this article
Cite this article
Baker, J.D., DeYoung-Smith, M. Accommodative esotropia following surgical correction of congenital esotropia, frequency and characteristics. Graefe's Arch Clin Exp Ophthalmol 226, 175–177 (1988). https://doi.org/10.1007/BF02173312
Issue Date:
DOI: https://doi.org/10.1007/BF02173312