Presentation
Cyclic esotropia should be considered in the differential diagnosis when an individual presents with a history of intermittent strabismus that is present some days and not others. [ncbi.nlm.nih.gov]
Entire Body System
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Enuresis
A 5-year-old girl with previously unrecognized hyperopia of approximately 3.00 D developed esotropia while being treated with oxybutynin for enuresis. The esotropia disappeared with cessation of oxybutynin and correction of her hyperopia. [ncbi.nlm.nih.gov]
Eyes
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Esotropia
Accommodative esotropia is the most common pediatric strabismus and must be differentiated from other pediatric esotropias. [ncbi.nlm.nih.gov]
Neurologic
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Downbeat Nystagmus
Patients usually present with headache, lower cranial nerve palsies, downbeat nystagmus, ataxia, or dissociated anesthesia of the trunk and extremities. [ncbi.nlm.nih.gov]
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Cerebellar Ataxia
[…] syndactyly Overgrowth Tall stature Dental malocclusion Paralysis Nail dysplasia Acrania Cortical visual impairment Anal atresia Craniofacial hyperostosis Restrictive external ophthalmoplegia Depressivity Blepharophimosis Ophthalmoplegia Progressive cerebellar [mendelian.co]
Urogenital
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Nocturnal Enuresis
Three months later, the patient developed a consecutive esotropia of 18 PD in primary position with diplopia in all gazes triggered by Amitriptyline treatment prescribed one month earlier for nocturnal enuresis. [ncbi.nlm.nih.gov]
Workup
A head CT and facial bone workup revealed a subacute subdural hemorrhage in the right frontal lobe. [pediatrics.aappublications.org]
Acute ET can be caused by intracranial pathology, so a full workup is necessary to definitively rule-out such causes. A thorough history regarding duration, neurological symptoms, and ocular history should be obtained. [webeye.ophth.uiowa.edu]
We evaluated patient history, clinical presentation, workup, treatment and outcomes. Between one and three pre-surgical examinations were carried out, in order to establish angle stability. [bmcophthalmol.biomedcentral.com]
Treatment
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. [ncbi.nlm.nih.gov]
Prognosis
The diagnosis, clinical features, etiology, treatment, prognosis, and clinical course for the 3 types of accommodative esotropia are presented. [ncbi.nlm.nih.gov]
Treatment after age two decreases the prognosis for re-establishment of binocular vision. The chances of developing it with surgery alone diminish with age. [drshalupal.com]
Etiology
Many etiologies are described in the literature to cause an esodeviation that is greater at distance than near in adult patients and some exist in conjunction with a neurological condition. [ncbi.nlm.nih.gov]
Epidemiology
Amblyopia (reduced visual acuity due to an abnormal visual experience early in life) frequently develops if the condition remains untreated. [1] Epidemiology Race No racial predilection exists for esotropia with high AC/A ratio. [emedicine.medscape.com]
Researchers investigated the prevalence of psychiatric disorders among young adults who had CET as children using data from the Rochester Epidemiology Project. [mayoclinic.org]
Pathophysiology
Recent studies have shown that loop myopexy with or without medial rectus recession can be performed without sclera fixation sutures to correct the underlying pathophysiology. [ncbi.nlm.nih.gov]
Amblyopia is reduced visual acuity due to an abnormal visual experience early in life. [1] Pathophysiology A patient with uncorrected hyperopia must accommodate to clear a blurred retinal image. [emedicine.medscape.com]
Prevention
Children with successfully treated accommodative esotropia need to be followed up with to prevent possible deterioration and development of a superimposed nonaccommodative esotropia, which in some cases may require extraocular muscle surgery. [ncbi.nlm.nih.gov]
What Can I Do To Prevent Esotropia From Developing? Esotropia cannot be prevented, but complications resulting from it can be prevented if the problem is detected early and treated properly. [eyehealthweb.com]