Year : 2007 | Volume
: 55 | Issue : 2 | Page : 117--120
Clinical characteristics of spontaneous late-onset comitant acute nonaccommodative esotropia in children
Department of Pediatric Ophthalmology and Strabismus, Bombay City Eye Institute and Research Centre, 5 Victor Villa, Babulnath Road, Mumbai - 400 007, India
Purpose: To describe the clinical characteristics of spontaneous, late-onset comitant acute, nonaccommodative esotropia (ANAET) in children.
Materials and Methods: 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.
Jyotirmay Eye Clinic for Children and Squint and Pediatric Low Vision Center, 205, Ganatra Estate, Pokhran Road No 1, Khopat, Thane West - 400 601, Maharashtra
|How to cite this article:|
Kothari M. Clinical characteristics of spontaneous late-onset comitant acute nonaccommodative esotropia in children.Indian J Ophthalmol 2007;55:117-120
|How to cite this URL:|
Kothari M. Clinical characteristics of spontaneous late-onset comitant acute nonaccommodative esotropia in children. Indian J Ophthalmol [serial online] 2007 [cited 2020 Feb 19 ];55:117-120
Available from: http://www.ijo.in/article.asp?issn=0301-4738;year=2007;volume=55;issue=2;spage=117;epage=120;aulast=Kothari;type=0