Acute concomitant esotropia of adulthood

Published on May 1, 2003in Ophthalmology12.079
· DOI :10.1016/S0161-6420(03)00102-7
Abraham Spierer21
Estimated H-index: 21
(Sheba Medical Center)
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Abstract
Abstract Purpose To identify the characteristics of adult patients who develop acute concomitant esotropia of adulthood. Design Retrospective noncomparative case series. Participants Ten patients were included in this study. Intervention The charts of all adults with acute-onset concomitant esotropia who were examined at our institute between 1990 and 1997 were reviewed, and those who had developed the syndrome when they were older than the age of 16 years were included in this study. All participants underwent a complete ocular and physical examination, including brain and orbital computed tomography. Main outcome measures Angle of esotropia, measured by the prism and cover test. Results The mean age ± standard deviation at the time of the ocular and physical examination was 38 ± 18.6 years (range, 18–70 years). The mean myopic error was −4.1 ± 3.2 diopters (range, +2.0 to −8.5 diopters). Nine of the 10 patients were myopic. The mean angle of esotropia was 33.8 ± 14.7 prism diopters (range, 18–60 prism diopters). The mean period of follow-up was 2.2 ± 1.0 years (range, 1–4 years). After surgery, all patients were orthophoric or minimally esophoric, and in all of them, stereoacuity (measured by the Titmus stereofly test) was 40 arc seconds. Conclusions In a well-defined group of adult patients with acute-onset concomitant esotropia, almost all were myopic, and all regained normal stereopsis after surgery. Acute concomitant esotropia of adulthood should probably be classified as a distinct subgroup of acute-onset esotropia.
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#1Brian G. Mohney (East Tennessee State University James H. Quillen College of Medicine)H-Index: 32
Abstract Purpose: Acquired nonaccommodative esotropia (ANAET) in childhood is reported to occur infrequently and is often associated with an underlying neurologic or neoplastic disorder. The primary objective of this study was to ascertain the prevalence and clinical characteristics of this form of childhood esotropia. Methods: A cohort of all children younger than 11 years with esotropia from a predominantly rural Appalachian region was prospectively identified from August 1, 1995, through July...
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#1Brian G. Mohney (East Tennessee State University James H. Quillen College of Medicine)H-Index: 32
Abstract Objective To determine the most common forms of childhood esotropia. Design Prospective, consecutive, observational case series. Participants All esotropic children younger than 11 years of age from a predominantly rural Appalachian region evaluated from August 1, 1995 through July 31, 1998. Methods Demographic and clinical data were collected for all patients. Main outcome measures The percentage ratio of the various forms of childhood esotropia. Results Two hundred twenty-one consecut...
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#1Christopher J. Lyons (UBC: University of British Columbia)H-Index: 20
#2Peter A C Tiffin (UBC: University of British Columbia)H-Index: 1
Last. Darren T. Oystreck (UBC: University of British Columbia)H-Index: 3
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PURPOSE: To define the clinical characteristics of patients presenting with acute onset esotropia and features suggestive of possible underlying central nervous system pathology. To assess the prognosis for the return of binocular function and to consider the most appropriate management. METHODS: A prospective clinical study was carried out of all patients presenting to the department of paediatric ophthalmology at a university teaching hospital over the period January 1994 to April 1997. Each p...
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#1Emma Dawson (Moorfields Eye Hospital)H-Index: 14
#2Wendy E. Marshman (Moorfields Eye Hospital)H-Index: 5
Last. Gillian G.W. Adams (Moorfields Eye Hospital)H-Index: 24
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Abstract Objective To establish the effectiveness of botulinum toxin A (BTXA) in the treatment of patients with acute acquired concomitant esotropia. Design Retrospective, interventional, noncomparative case series. Participants Fourteen patients presenting to the Strabismus and Pediatric Service at Moorfields Eye Hospital with acute-onset esotropia over a 6-year period (1991–1997). Intervention 2.5 units of BTXA injected into the unilateral medial rectus muscle of the deviating eye under electr...
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Abstract Objective To determine how frequently neurologic disease accompanies divergence weakness, the stability of the eye movement disorder, and the response to treatment. Design Prospective, interventional, noncomparative case series. Participants and methods Seventeen consecutive adult patients (28–96 years of age) with divergence weakness were prospectively evaluated from 1991 to 1997. Main outcome measures Ocular alignment was measured at distance and near and in up, down, left, and right ...
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#1Anne Legmann Simon (SC: University of Southern California)H-Index: 1
#2Mark Borchert (SC: University of Southern California)H-Index: 35
Objective: The purpose of the study is to review etiologies and outcomes of sudden, late-onset esotropia. Design: The authors reviewed charts of patients in whom acute, comitant, constant esotropia developed after 5 years of age. Main Outcome Measures: The authors evaluated final ocular alignment, treatment, fusion, apparent etiologies, and associated neurologic conditions. Results: Ten patients met entry criteria with documentation of previous orthotropia. Ages ranged from 5 to 35 years. Esotro...
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#1Creig S. Hoyt (UCSF: University of California, San Francisco)H-Index: 35
#2W V GoodH-Index: 1
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#1Hiroshi Ohtsuki (Okayama University)H-Index: 25
#2Satoshi Hasebe (Okayama University)H-Index: 19
Last. Takashi Furuse (Okayama University)H-Index: 10
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We conducted a retrospective study of 25 patients with acute-onset comitant esotropia to evaluate whether the timing of the start of treatment is a critical factor in the development of normal stereopsis. The mean age at onset was 12 years 4 months, and mean age at the start of treatment was 17 years 9 months. Bifixation was defined as a stereoacuity threshold score that was numerically lower than 60 seconds of arc on stereotesting. An operation was performed on the nonfixating eye for the prism...
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Monozygous twins who developed typical acute late onset esotropia are described. Neither had evidence of other neurological disease and both responded well to bimedial rectus muscle recessions. This twin presentation suggests a hereditary basis for the development of late onset esotropia in at least some cases. It provides further support for a policy of avoiding invasive CNS investigations in those patients who have binocular potential and are otherwise normal.
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#1A C Clark (Wills Eye Institute)H-Index: 1
#2Leonard B NelsonH-Index: 27
Last. Steven E. RubinH-Index: 6
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Acute acquired comitant esotropia has been used to describe a dramatic onset of a relatively large angle of esotropia with diplopia and minimal refractive error. We describe six children aged 5 to 11 years who developed an acute non-accommodative esotropia with diplopia. Neurological examination, including CT scan, in each of these children gave negative results. We suggest that this is an unusual presentation of esotropia of undetermined aetiology. The diagnosis, clinical characteristics, and m...
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#1Hirohito Iimori (Hamamatsu University School of Medicine)H-Index: 1
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This study aimed to identify the characteristics of acute acquired comitant esotropia (AACE) in young patients from a single institution; and clarify their relationship with the excess use of digital devices. Retrospective, observational. We extracted the clinical charts of patients aged between 5 and 35 years who presented at the Hamamatsu University Hospital with AACE symptoms from January 1, 2015 to December 31, 2018. The age of onset, angle of deviation, refractive errors, history of near wo...
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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...
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Abstract Objective To review the clinical features of acute acquired concomitant esotropia in myopia and the results of augmented bilateral symmetrical medial rectus recession. Methods The medical charts of 50 patients diagnosed with acute acquired concomitant esotropia associated with myopia between 2013 and 2018 were reviewed. The dose-response was calculated, and the relationship of sex, age, refraction, best-corrected visual acuity (BCVA), preoperative deviation angle, and stereopsis with su...
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#1Wonki Kang (Yeungnam University)
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#1Dae Hyun Kim (Chosun University)
#2Ha Jeong Noh (Chosun University)
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#1Minghua Shi (Hanyang University)H-Index: 1
Last. Hongxing Ren (Hanyang University)
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Background The treatment efficacy of botulinum toxin bilateral medial rectus injections for acute acquired concomitant esotropia (AACE) in adult is not clear. We characterize the effects of botulinum toxin injection in the treatment of AACE, especially in patients over 14 years old, and compared it with surgical treatment. Methods In this prospective, nonrandomized, controlled clinical study, patients with AACE in our hospital from March 2017 to March 2020 elected to receive bilateral medial rec...
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#2Xiaoning Yu (ZJU: Zhejiang University)H-Index: 10
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To examine the clinical features of acute acquired comitant esotropia (AACE) and to evaluate the clinical effectiveness of a single injection of botulinum toxin type A (BTXA) on binocular visual function (BVF). This retrospective, observational case series study enrolled patients with AACE examined from October 2018–May 2019. BTXA was injected into the both medial rectus muscles. The refractive error, best-corrected visual acuity (BCVA), stereoacuity, vergence, accommodation, the horizontal angl...
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#1Celeste Ruatta (UNIBO: University of Bologna)H-Index: 2
#2Costantino Schiavi (UNIBO: University of Bologna)H-Index: 14
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