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Accommodative esotropia

Accommodative esotropia

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Accommodative esotropia

  1. 1. Accommodative esotropia Dr. Rahul
  2. 2. Accommodative esotropia  Accommodative esotropia is a condition where in excessive effort of accommodation results in an inward deviation of the eyes.  Most often it is caused by uncorrected Hypermetropia.
  3. 3.  Acquired Esotropia in a visually immature child is a day time emergency.  The consequences are loss of Binocular vision & onset of amblyopia.  The interval between the time of onset & the treatment determines the visual outcome
  4. 4. Classification Accommodative esotropia Refractive Accommodative Esotropia Non- Refractive Accommodative Partially Accommodative (Mixed)
  5. 5. Fully accommodative  Accommodative Esotropia which is fully corrected by optical correction of Hypermetropia is called Refractive Accommodative Esotropia  These children will initially be normal with straight eyes.
  6. 6.  Around the age of 18 to 24 months, they try to accommodate to clear the retinal image blur.
  7. 7. **Binocular Vision and Ocular Mobility: Theory and Management of Strabismus, Gunter K. Von Noorden
  8. 8. Clinical Features  Onset 2-3 yrs of age; but can occur at any age  • Initially intermittent & variable Diplopia Within 2-3 days suppression Longer duration leads to Anomalous retinal correspondence • Develop amblyopia if uncorrected • Normal AC/A ratio • Hypermetropic refractive error (usually between +2 D to+6)
  9. 9. Accommodative esotropia –without & with glasses
  10. 10. Treatment  Full refractive correction is prescribed, so that binocular vision can be restored.  Child should wear the refractive correction at all times.  If not, child will not relax the accommodation & vision will be blurred with glasses

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