Acquired Esotropia


Acquired esotropia requires an urgent consult for at least three important reasons:
  1. 1.

    Patients with acquired strabismus have fusion potential that diminishes in proportion to the duration of the esotropia. Early intervention can result in restoration of high grade binocular fusion.

  2. 2.

    Prompt dispensing of hypermetropic spectacle correction reduces the occurrence of amblyopia and increases the likelihood that spectacles alone will correct the esotropia, obviating the need for surgery.

  3. 3.

    Acquired esotropia can be a presenting sign of a neurological process such as myasthenia gravis, chronic progressive external ophthalmoplegia (CPEO), Arnold-Chiari malformation, or an intracranial tumor causing a sixth nerve paresis.



Medial Rectus Target Angle Chronic Progressive External Ophthalmoplegia Binocular Fusion Chronic Progressive External Ophthalmoplegia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    France TD, France LW. Orthoptics in focus-visions for the new millennium. Transactions IX International Orthoptic Congress. Stockholm; 1999:223–226.Google Scholar
  2. 2.
    Wright KW, Bruce-Lyle L. Augmented surgery for esotropia associated with high hypermetropia. J Pediatr Ophthalmol Strabismus 1998;30:167–170.Google Scholar

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© Springer Science Business Media, LLC 2007

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