Acquired distance esotropia associated with myopia

Strabismus
Hilary Webb, John Lee

Abstract

Von Graefe (1864)(1) and Bielschowsky (1922)(2) described acquired progressive esotropia, with typically a larger angle for distance than near, associated with moderate myopia. This is unlike the esotropia seen in patients with high myopia. We reviewed our patient records, finding 26 cases: 14 were female, 12 male. Age range at first presentation was 37-74 with a mean of 55.5. The myopia was from -0.75 to -10.00, with a mean of -5.50 in each eye. Eighteen patients mostly wore glasses, eight mainly wore contact lenses. All complained of horizontal diplopia. Seventeen (65%) had been treated with prisms with a gradual increase in power. Six patients (23%) continued with prisms although surgery has been offered in three cases. Seven patients (27%) had botulinum toxin to one medial rectus muscle. In two cases this proved to be successful maintenance therapy, the remaining five have gone on to have surgery. Seventeen (65%) have undergone surgery (mainly unilateral medial rectus recession and lateral rectus resection) with relief of diplopia and discarding of prisms. Three patients required further surgery for a recurrence after 10-12 years and another is using prisms for a recurrence after 11 years. One patient has suffered an early ...Continue Reading

Citations

Jun 13, 2012·Archives of Ophthalmology·Zia Chaudhuri, Joseph L Demer
Aug 28, 2010·Journal of Pediatric Ophthalmology and Strabismus·David Mittelman
Dec 26, 2006·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Fiona J Rowe, Carmel P Noonan
Jul 4, 2006·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·David Mittelman
Jul 17, 2015·Middle East African Journal of Ophthalmology·Ramesh KekunnayaVirender Sachdeva
Oct 25, 2016·Journal of Optometry·Pilar S MerinoJose V Escribano
Nov 1, 2016·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Yun-Yun SunNingli Wang
Sep 25, 2019·Japanese Journal of Ophthalmology·Haeng-Jin Lee, Seong-Joon Kim
Feb 18, 2020·Archivos de la Sociedad Española de Oftalmología·P Merino SanzJ Casco Guijarro
Jul 27, 2017·Archivos de la Sociedad Española de Oftalmología·P Hernández Martínez, J M Rodríguez Del Valle

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