Clinical characteristics of spontaneous late-onset comitant acute nonaccommodative esotropia in children.
Indian J Ophthalmol
;
2007 Mar-Apr; 55(2): 117-20
Article
in English
| IMSEAR
| ID: sea-71568
ABSTRACT
PURPOSE:
To describe the clinical characteristics of spontaneous, late-onset comitant acute, nonaccommodative esotropia (ANAET) in children. MATERIALS ANDMETHODS:
Clinical characteristics of a cohort of patients under 16 years of age with ANAET were studied retrospectively.RESULTS:
Of 15 patients eight were females. Mean age was 7.15 years (range 2.5-13, SD 3.34). Mean age of the onset of deviation was 3.2 years (range 1.5-9, SD 2.26). Mean duration of strabismus was 36 months (range 3-132, SD 43). History of a precipitating event was present in five patients (33.3%). Mean cycloplegic refraction was 1.84 diopter sphere (range -5.75 to +7.25, SD 3.55). Mean esodeviation for near and distance fixation was 40 prism diopter (range 15-90, SD 23.9). None had near/distance disparity of more than 5 prism diopter. Amblyopia was present in 13 cases (87%). Strabismus surgery was performed for eight patients. Five patients had orthophoria and three were aligned within 8 prisms esodeviation.CONCLUSION:
ANAET is more common than previously reported, has a variable time of onset and high incidence of amblyopia. Timely management would avert emergence of amblyopia and vertical incomitance thereby promising better binocular outcome.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Prognosis
/
Refraction, Ocular
/
Ophthalmologic Surgical Procedures
/
Female
/
Humans
/
Male
/
Child
/
Child, Preschool
/
Esotropia
/
Acute Disease
Type of study:
Incidence study
/
Observational study
/
Prognostic study
/
Risk factors
Country/Region as subject:
Asia
Language:
English
Journal:
Indian J Ophthalmol
Year:
2007
Type:
Article
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