Varied aetiology of acute acquired comitant esotropia: A case series.

Published on May 1, 2012in Oman Journal of Ophthalmology1.848
路 DOI :10.4103/0974-620X.99373
Vasudha Kemmanu6
Estimated H-index: 6
Kaushik Hegde3
Estimated H-index: 3
+ 1 AuthorsBhujanga K. Shetty5
Estimated H-index: 5
This is an observational case series of five cases of acute acquired comitant esotropia (AACE) with diplopia, aged between 5 and 12 years. The duration of presenting complaints ranged from 4 days to 2 months. A detailed ophthalmic evaluation and neuroimaging were done on all patients. Three patients were found to have intracranial pathology. Two patients had pontine glioma and one patient had benign intracranial hypertension. One patient was diagnosed as accommodative spasm and one patient was diagnosed as having Type 2 AACE. We would like to conclude that AACE can be of a varied aetiology ranging from convergence spasm to those harboring serious intracranial diseases. We reiterate that AACE has a small but significant association with intracranial disorders. Neuroimaging is a definite need in cases which cannot be proved to be either Type 1 or 2.
馃摉 Papers frequently viewed together
#1Fulvio ParentinH-Index: 8
#2Federico Marchetti (IRCCS Materno Infantile Burlo Garofolo)H-Index: 27
Last. Stefano PensieroH-Index: 10
view all 5 authors...
#1Lubaina M. Rangwala (HUP: Hospital of the University of Pennsylvania)H-Index: 1
#2Grant T. LiuH-Index: 51
Our understanding of pediatric idiopathic intracranial hypertension has been refined since Dr. Simmons Lessell's review in 1992. The use of rigorous methodologies and standard definitions in recent studies has demonstrated distinct demographic trends. Specifically, the incidence of idiopathic intracranial hypertension seems to be increasing among adolescent children, and among older children its clinical picture is similar to that of adult idiopathic intracranial hypertension (female and obese)....
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...
#1Molly E. Gilbert (Thomas Jefferson University)H-Index: 7
#2Dalia Meira (Thomas Jefferson University)H-Index: 1
Last. Peter C. Phillips (Children's Hospital of Philadelphia)H-Index: 43
view all 5 authors...
An 18-year-old girl presented with an acute acquired comitant esotropia. Investigation showed a brainstem glioma. Discussion of types of acute acquired comitant esotropia, differential diagnosis and neurologic work-up is given. Review of the literature involving acute acquired comitant esotropia is provided.
#1R.V. Paul Chan (UM: University of Michigan)H-Index: 26
#2Jonathan D. Trobe (Visual Sciences)H-Index: 34
Abstract: Spasm of accommodation, creating pseudomyopia, is generally associated with miosis and excess convergence as part of spasm of the near reflex. It may also exist as an isolated entity, usually attributed to psychogenic causes. We present six cases of accommodative spasm associated with closed head injury. All patients were male, ranging in age between 16 and 37 years. The degree of pseudomyopia, defined as the difference between manifest and cycloplegic refraction, was 1.5 to 2 diopters...
#1David E. Newman-Toker (MEE: Massachusetts Eye and Ear Infirmary)H-Index: 1
#2Joseph F. Rizzo (Harvard University)H-Index: 58
#2Erdo臒an Cicik (Istanbul University)H-Index: 7
#3C Akman (Istanbul University)H-Index: 1
Last. Gurhan Kendiroglu (Istanbul University)H-Index: 3
view all 5 authors...
We encountered a 5-year-old girl with acute onset of alternating, comitant esotropia in the absence of diplopia and other neurologic findings. She did not have any refractive error and seen bilateral papilledemas in fundus examination, magnetic resonance imaging (MRI) of the head was performed. A large cerebellar astrocytoma and moderate hydrocephalus was identified and successfully resected. The onset of comitant esotropia in a child can be the first sign of a cerebellar tumor without any other...
#1Joseph H Goldstein (SUNY: State University of New York System)H-Index: 6
#2Barbara B. Schneekloth (SUNY: State University of New York System)H-Index: 3
Abstract Spasm of the near reflex has been characterized as the variable appearance of pseudomyopia, convergent strabismus and miosis. These characteristics may appear together or separately. In addition, abnormalities of accommodation may appear not only as pseudomyopia, but may also be manifest in cases with significant hypermetropia in which the patient is unable to relax accomodation even when plus lenses are used. The intent of this review is to identify the various clinical presentations o...
#1Creig S. Hoyt (UCSF: University of California, San Francisco)H-Index: 35
#2W V GoodH-Index: 1
#2Emilio C. CamposH-Index: 8
I. PHYSIOLOGY OF THE SENSORIMOTOR COORDINATION OF THE EYES 1.General Introduction 2. Binocular Vision and Space Perception 3. Summary of the Gross Anatomy of the Extraocular Muscles 4. Physiology of the Ocular Movements 5. The Near Vision Complex 6. Histology and Physiology of the Extraocular Muscles 7. Visual Acuity, Geometric Optical Effects of Spectacles, Aniseikonia II. INTRODUCTION TO NEUROMUSCULAR ANOMALIES OF THE EYES 8. Classification of Neuromuscular Anomalies of the Eyes 9. Etiology of...
Cited By15
#1Zhiyue Dai (WMU: Wenzhou Medical College)H-Index: 1
#2Fuhao Zheng (WMU: Wenzhou Medical College)
Last. Xinping Yu (WMU: Wenzhou Medical College)H-Index: 6
view all 9 authors...
To evaluate the treatment efficacy of the preoperative base-out recovery point as the surgical target angle for acute acquired comitant esotropia. Prospective study. Twenty-two patients with acute acquired comitant esotropia (AACE) underwent strabismus surgery based on the target angle of the preoperative base-out recovery point. The postoperative deviation, positive fusional vergence, and negative fusional vergence were evaluated and compared with those of 23 normal individuals. The mean follow...
BACKGROUND Acute childhood strabismus is often a clinical conundrum faced by ophthalmologists. Currently, there are no clear clinical guidelines on how to investigate a child presenting with acute strabismus. Furthermore, there is no consensus as to whether to initially perform neuroimaging of a child to rule out the small but serious risk of intracranial pathology, or to pursue a careful observational approach. This paper aims to outline a standardised approach to investigating acute strabismus...
#1Apatsa Lekskul (MU: Mahidol University)H-Index: 2
#2Nichaboon Chotkajornkiat (MU: Mahidol University)
Last. Phantaraporn Tangtammaruk (MU: Mahidol University)H-Index: 1
view all 4 authors...
Purpose To identify the etiologies, clinical course and management of acute acquired comitant esotropia in Ramathibodi Hospital, Thailand. Methods Thirty patients who were diagnosed with acute acquired comitant esotropia at Ramathibodi Hospital from January 1 2017 to December 31 2019 were identified using electronic medical records, from which demographic, etiology, clinical course and management, laboratory, and neuroimaging data were collected. Results The etiologies of acute acquired comitant...
#1Feng ChangH-Index: 1
#2Tao WangH-Index: 1
Last. Xiao ChenH-Index: 1
view all 6 authors...
Objective: Acute acquired concomitant esotropia (AACE) is a distinct subtype of esotropia. The purpose of this retrospective study was to describe the clinical characteristics and discuss the diagn...
#1Chunyan Cai (WHU: Wuhan University)H-Index: 2
#2Hongbin DaiH-Index: 1
Last. Yin Shen (WHU: Wuhan University)H-Index: 7
view all 3 authors...
Background To describe the clinical characteristics and the outcomes of strabismus surgery for acute acquired comitant esotropia (AACE).
PURPOSE: To review and analyze the surgical outcomes of bilateral medial rectus recession with adjustable suture in acute concomitant esotropia of adulthood (ACEA). METHODS: The charts of all adults diagnosed as having ACEA between 2004 and 2017 were reviewed. Best corrected visual acuity, refractive error, ocular alignment measured in prism diopters (PD), and stereopsis were examined at presentation, 1 day postoperatively, and final follow-up visit (median: 10 months; range: 4 to 144 months). A...
#1Umberto Raucci (Boston Children's Hospital)H-Index: 18
#2Pasquale ParisiH-Index: 48
Last. Nicola Pirozzi (Boston Children's Hospital)H-Index: 17
view all 11 authors...
Background Acute ocular motility disorders (OMDs) in children admitted to Emergency Department (ED) represents a not so rare condition with a wide spectrum of different etiologies. The emergency physician must be skilled in rapidly identifying patients with potentially life threatening (LT) forms, requiring further diagnostic procedures. The aim of the study was to assess characteristics of children with acute Ocular Motility Disorders (OMDs), and to identify 鈥渞ed flags鈥 for recognition of under...
: Acute acquired comitant esotropia (AACE) is an unusual presentation of esotropia that occurs after infancy. This study was aimed to study the clinical features and the differences between children and adult patients with AACE in the Chinese populations.This was a retrospective analysis of patients diagnosed with AACE over 4 years; 69 patients (25 females and 44 males) were identified. The patients were divided into 3 groups:鈥<鈥10 year-old (n = 6, 8.7%), 10-18 year-old (n鈥=鈥23, 33.3%), and 鈮18 ...
#1Bo Li (UWO: University of Western Ontario)H-Index: 5
#2Sapna Sharan (UWO: University of Western Ontario)H-Index: 9
Abstract Objective To describe the presentation, clinical evaluation, work-up, surgical management, and surgical outcomes in children older than 8 years with spontaneous, comitant, acquired nonaccommodative esotropia (ANAET). Design Retrospective chart review. Participants Children who underwent bilateral medial rectus recession surgery for ANAET with initial esotropia onset later than 8 years of age. Methods The medical records of children older than 8 years presenting with ANAET from 2009 to 2...
#1Robert P. Rutstein (UAB: University of Alabama at Birmingham)H-Index: 17
#2Sarah D Lee (UAB: University of Alabama at Birmingham)
Last. David R Zimmerman (UAB: University of Alabama at Birmingham)
view all 3 authors...
This website uses cookies.
We use cookies to improve your online experience. By continuing to use our website we assume you agree to the placement of these cookies.
To learn more, you can find in our Privacy Policy.