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accommodative esotropia

Tiana Y Clark, Robert A Clark
No abstract text is available yet for this article.
February 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
Kyung-Ah Park, Sei Yeul Oh
PURPOSE: To compare the clinical outcomes of patients with an esotropia with an accommodative component after infantile esotropia surgery and patients with primary refractive accommodative esotropia. METHODS: The medical records of patients with postoperative (secondary group) and primary refractive accommodative esotropia (primary group) were reviewed retrospectively. Changes in ocular alignment, refractive error, weaning rate, decompensation rate over time, and sensory outcomes were compared...
February 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
Shin Yeop Oh, Ju-Yeun Lee, Kyung-Ah Park, Sei Yeul Oh
We investigate the changes in refractive error and clinical evaluation in partially accommodative esotropia(PAET) after surgery. A total of 68 patients PAET who received at least 2 years of follow-up after surgery were enrolled in this study. We performed a retrospective study in patients who underwent unilateral or bilateral medial rectus recession for a non-accommodative component of PAET between January 2005 and March 2013. Patients were divided into groups according to the presence of dominancy (dominant, non-dominant, alternative eye), and presence of amblyopia (amblyopic, fellow, normal eye)...
2016: PloS One
Edward L Raab
BACKGROUND AND PURPOSE: There is a continuing debate as to whether the patient optically correctable at distance to within 8 prism diopters of perfect alignment requires treatment for persisting overconvergence at near, and if treatment is indicated, what it should be. PATIENTS AND METHODS: For the patient whose misalignment at distance is reduced to 8 or fewer prism diopters, my preference is for the full cycloplegic correction plus a bifocal in the first prescription, to discourage virtually all accommodation initially, with pull back later...
January 2016: American Orthoptic Journal
Anton M Kolomeyer, Ken K Nischal, Ellen Mitchell
PURPOSE: To report a case of bilateral cavernous sinus thrombosis (CST) in a patient with tacrolimus-associated posttransplant thrombotic microangiopathy. METHODS: Case report. RESULTS: An 8-year-old boy with a medical history of orthotopic heart transplant, posttransplant lymphoproliferative disease, and recurrent infections was hospitalized for nausea, vomiting, and diarrhea. His ocular history included accommodative esotropia, hyperopia with astigmatism, Molluscum contagiosum lid lesions, and idiopathic intracranial hypertension...
October 13, 2016: European Journal of Ophthalmology
Aubrey L Gilbert, Euna B Koo, Gena Heidary
Acute acquired comitant esotropia (AACE) is characterized by a sudden-onset eye misalignment with an equal angle of deviation in all fields of gaze. This form of esotropia is distinct from common forms of childhood esotropia, such as infantile esotropia and accommodative esotropia, in the rapid tempo and typically later timing of onset; further, AACE is distinct from restrictive or paretic strabismus, which usually results in an incomitant angle of deviation that varies with the direction of gaze. The underlying etiologies for AACE are broad but, in some cases, it may be associated with significant neurologic disease...
2017: Seminars in Ophthalmology
Xi Wang, Bingjie Chen, Longqian Liu
PURPOSE: To report a patient with cyclic esotropia with a high accommodative convergence to accommodation (AC/A) ratio after surgical correction of intermittent exotropia who was found to have bilateral anomalous medial rectus muscle insertion sites. METHOD: A 5-year-old girl developed intermittent esotropia on alternating days after undergoing bilateral lateral rectus recessions for correction of intermittent exotropia. Alternate prism and cover measurement of ocular alignment and binocular function was assessed on consecutive days...
September 15, 2016: International Ophthalmology
Michela Fresina, Giuseppe Giannaccare, Piera Versura, Emilio C Campos
INTRODUCTION: Acute acquired distance esotropia (AADE) is a poorly understood moderate-angle strabismus, affecting young adult myopes and determining bothersome diplopia. Symptoms can be intermittent in the early stages, becoming constant in long-lasting disease. Symptomatic therapy includes prism correction, while surgery is the only curative treatment. However, the latter is affected by high rate of symptoms recurrence with the frequent need for reoperation. HYPOTHESIS: We hypothesize that AADE could be caused by the increase of the accommodative demand, often secondary to a myopic overcorrection...
September 2016: Medical Hypotheses
O I Castro-Vite, A J Vargas-Ortega, A Aguilar-Ruiz, C E Murillo-Correa
OBJECTIVE: To evaluate the sensorial status in patients with pure accommodative esotropia. MATERIAL AND METHODS: Ambispective study, patients with pure accommodative esotropia that were found in orthotropy when using its correction glasses were included. RESULTS: 67 patients were included, mean age was 3.68±1.28 years, the near and far ocular deviation was 19±8.8 PD and 18.71±10.61 PD respectively. The visual acuity in the right eye was 0...
December 2016: Archivos de la Sociedad Española de Oftalmología
Nazife Sefi-Yurdakul, Betül Tuğcu
PURPOSE: To evaluate the incidence of strabismus in children initially diagnosed with pseudostrabismus and to identify risk factors for the development of strabismus. METHODS: The medical records of patients who were diagnosed with pseudostrabismus at initial examinations in outpatient clinic were reviewed retrospectively. Follow-up examinations were made at the strabismus department. Age at first examination, gender, family and developmental history, ophthalmic and orthoptic findings including orbit, and eyelid pathologies were investigated...
June 2016: Strabismus
Krista R Kelly, Joost Felius, Santoshi Ramachandran, Blesson A John, Reed M Jost, Eileen E Birch
PURPOSE: We examined whether congenital impairment of disparity vergence in infantile esotropia (ET) exists in children with short duration ET (≤3 months) compared with long-duration ET and healthy controls. A short duration of misalignment would allow for a substantial amount of balanced binocular input during the critical period of binocular disparity development. METHODS: A total of 19 children aged 5 to 12 years and treated for infantile ET with a short (≤3 months; n = 10) or long (≥5 months; n = 9) duration of constant misalignment before alignment were enrolled...
May 1, 2016: Investigative Ophthalmology & Visual Science
Jingyun Wang, Sarah E Morale, Xiaowei Ren, Eileen E Birch
PURPOSE: We investigated longitudinal changes of refractive error in children with accommodative esotropia (ET) throughout the first 12 years of life, its dependence on age at onset of ET, and whether amblyopia or anisometropia are associated with defective emmetropization. METHODS: Longitudinal refractive errors in children with accommodative ET were analyzed retrospectively. Eligibility criteria included: initial hyperopia ≥ +4.00 diopters (D), initial cycloplegic refraction before 4 years, at least 3 visits, and at least one visit between 7 and 12 years...
April 1, 2016: Investigative Ophthalmology & Visual Science
Saber Abdi, Inga-Lill Thunholm-Henriksson, Tony Pansell
BACKGROUND: The aim was to present a series of patients with intermittent partially accommodative esotropia (pAcc-ET) in evaluating the effect of over-plus correcting the hypermetropia relative to the non-cycloplegic refraction using contact lenses. METHODS: Twenty-three patients (23.8 ± 8.9 years) with intermittent pAcc-ET were fitted with soft daily single-vision contact lenses and the hypermetropia was over-plus corrected relative to the original subjective non-cycloplegic refraction, reducing distance visual acuity to 0...
May 2016: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
Mary C Whitman, Katelyn MacNeill, David G Hunter
PURPOSE: To assess whether stereopsis outcomes of patients with accommodative esotropia with high accommodative convergence/accommodation relationship (AC/A) were improved after treatment with bifocal glasses compared with single-vision lenses. DESIGN: Retrospective cohort study. PARTICIPANTS: Patients with high AC/A accommodative esotropia; evidence of stereopsis, binocularity (on Worth 4-dot testing), or improvement in near angle with +3...
April 2016: Ophthalmology
Tugba Göncü, Ali Akal, Fatih Mehmet Adibelli, Sevim Çakmak, Mehmet Düsünür
PURPOSE: To evaluate the course of over-elevation in adduction in patients who had esotropia following correction of horizontal deviation. METHODS: The review of the medical files identified 28 patients who had esotropia with over-elevation in adduction. Data collected from the patients' full ophthalmological examinations included visual acuity, ocular alignment, duction, versions and sensory tests for binocularity and stereopsis, cycloplegic retinoscopy, and fundus evaluation...
January 2016: Journal of Pediatric Ophthalmology and Strabismus
E M Flores-Reyes, M G Castillo-López, R Toledo-Silva, J Vargas-Ortega, C E Murillo-Correa, A Aguilar-Ruiz
OBJECTIVE: To determine the effectiveness of a botulinum toxin type A injection in both medial rectus muscles in patients with partially accommodative esotropia. Residual deviation and stability of strabismus were evaluated at 18 months follow up. METHOD: A prospective, analytical, quasi-experimental study was conducted on a cohort of 21 patients who underwent total cycloplegic refraction and with a residual deviation of at least 14 DP. A botulinum toxin type A dose of 5 IU was injected into each medial rectus muscle for a residual deviation greater than 18 DP, with a dose of 2...
March 2016: Archivos de la Sociedad Española de Oftalmología
Eedy Mezer, Tamara Wygnanski-Jaffe, Chaim Stolovich
PURPOSE: Accommodative esotropia with a high accommodative element has been typically treated with bifocal lenses. This study assessed the age-dependent efficacy of progressive-addition lenses (PAL) for a high accommodative element in improving motor and sensory performance. METHODS: We evaluated PAL as an initial treatment modality or after initiating treatment with bifocals at various ages. Thirty-two patients, who did not undergo eye muscle surgery, were included in this retrospective study...
2015: Strabismus
Yiannis Iordanous, Alex Mao, Inas Makar
BACKGROUND/AIM: Despite successful ocular realignment, many strabismus patients never develop high levels of stereopsis. The purpose of this study was to determine preoperative factors that affect postoperative stereopsis in patients with acquired partially accommodative esotropia (APAET). METHODS: This was a retrospective chart review of patients who underwent successful surgery for APAET. We compared preoperative factors between patients achieving postoperative stereopsis of 100 seconds of arc or better versus those with worse than 100 seconds of arc...
2015: Strabismus
Caroline N DeBenedictis, Steven E Rubin, Sylvia R Kodsi
PURPOSE: Compared with the general population, patients with hydrocephalus are more likely to have strabismus. This study was undertaken to examine characteristics and outcomes of children with esotropia and ventricular-peritoneal shunt placement due to hydrocephalus. METHODS: This is a retrospective chart review of all pediatric patients with esotropia and a history of ventricular-peritoneal shunt placement seen by our pediatric ophthalmology service between January 2000 and December 2010...
2015: Strabismus
O Fakhoury, B Donnadieu, A Aziz, H Guigue, J Benichou, D Denis
OBJECTIVE: The purpose of this study is to evaluate the short-, medium- and long-term efficacy of posterior fixation sutures with conventional surgery in controlling strabismus in the case of esotropia with distance-near incomitance. MATERIALS AND METHODS: This is a retrospective study of consecutive patients with partially accommodative and non-accommodative esotropia associated with distance-near incomitance who underwent posterior fixation sutures along with conventional surgery...
November 2015: Journal Français D'ophtalmologie
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