Atypical presentation of acute acquired comitant esotropia.

Published on Mar 1, 2017in Clinical and Experimental Optometry1.918
· DOI :10.1111/CXO.12456
Robert P. Rutstein18
Estimated H-index: 18
(UAB: University of Alabama at Birmingham),
Sarah D Lee1
Estimated H-index: 1
(UAB: University of Alabama at Birmingham),
David R Zimmerman1
Estimated H-index: 1
(UAB: University of Alabama at Birmingham)
Purpose To identify characteristics of pediatric patients who develop acute acquired comitant esotropia (AACE) with and without intracranial disease. Methods We reviewed the charts of 48 children consecutively referred to the hospital with AACE during a 13-year period. Inclusion criteria were acute onset of comitant esotropia, available data on ophthalmologic, orthoptic and neurologic examinations. Children with neurological signs, AACE recurrence or hyperopia <+3 dioptres (D) underwent brain co...
22 CitationsSource
#1Jameel Rizwana Hussaindeen (SN: Sankara Nethralaya)H-Index: 6
#2Revathy ManiH-Index: 3
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Purpose Acute onset comitant esotropia associated with spasm of accommodation in children and adults is a rare clinical condition. When occurring with pupillary miosis and restricted ocular motility, it is referred to as "spasm of near reflex" (SNR) and may require neurological investigation. The natural history of SNR depends on its etiology. There is little information in the literature regarding the long-term follow-up of SNR and the stability of visual signs and symptoms following cessation ...
12 CitationsSource
#1Vasudha KemmanuH-Index: 5
#2Kaushik HegdeH-Index: 3
Last. Bhujanga K. ShettyH-Index: 4
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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 d...
15 CitationsSource
2 CitationsSource
#1Jong Min Lee (DCU: Catholic University of Daegu)H-Index: 1
#2Sin Hoo Kim (DCU: Catholic University of Daegu)H-Index: 1
Last. Sook Young Kim (DCU: Catholic University of Daegu)H-Index: 3
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We report a case of acute comitant esotropia in a child with a cerebellar tumor. A 3-year-old boy was referred for management of a 9 month history of acute acquired comitant esotropia. On first presentation, the patient's angle of esodeviation was 50 prism-diopters (PD) at distance and near fixation without any lateral incomitance. The cycloplegic refraction revealed +0.75 diopters in both eyes. Very mild bilateral papilledema was found on the fundus examination, but the neurological examination...
21 CitationsSource
ABSTRACTPurpose.To describe a child with hyperopia and anisometropia who manifests strabismus and amblyopia in the much less hyperopic eye.Case Report.A 6-year-old child presented with a history of strabismus and refractive error since infancy, which has been treated with glasses and patching. The p
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#1Tung Mei Kuang (Taipei Veterans General Hospital)H-Index: 1
#2May Yung Yen (Taipei Veterans General Hospital)H-Index: 9
Last. Wen-Ming Hsu (Taipei Veterans General Hospital)H-Index: 28
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Acute acquired comitant esotropia rarely occurs in older children and adults. Short-term occlusion of one eye, illness or emotional stress can decompensate the underlying heterophoria. We report a case of a 6-year-old child who developed 35 prism dioptors of acute esotropia after one-day occlusion of one eye for chalazion incision. Motility analysis to rule out paretic deviation is imminent. Waiting for at least 6 months before surgery is advised.
1 CitationsSource
#1Abraham Spierer (Sheba Medical Center)H-Index: 19
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 partic...
27 CitationsSource
#1Jane Gwiazda (New England College of Optometry)H-Index: 33
#2Leslie Hyman (SBU: Stony Brook University)H-Index: 52
Last. M. Scheiman (Salus University)H-Index: 5
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PURPOSE. The purpose of the Correction of Myopia Evaluation Trial (COMET) was to evaluate the effect of progressive addition lenses (PALs) compared with single vision lenses (SVLs) on the progression of juvenile-onset myopia. METHODS. COMET enrolled 469 children (ages 6-11 years) with myopia between -1.25 and -4.50 D spherical equivalent. The children were recruited at four colleges of optometry in the United States and were ethnically diverse. They were randomly assigned to receive either PALs ...
421 CitationsSource
#1Jody A. Summers Rada (UND: University of North Dakota)H-Index: 27
#2Debora L. Nickla (New England College of Optometry)H-Index: 28
Last. David Troilo (New England College of Optometry)H-Index: 30
view all 3 authors...
PURPOSE. The rate of proteoglycan synthesis was measured in the scleras of adolescent marmosets that had undergone monocular form deprivation to characterize the scleral extracellular matrix changes associated with the development of myopia in a mature primate. METHODS. Form deprivation myopia was induced in adolescent marmosets by unilateral lid suture for an average of 108 days. After the lids were reopened, the axial lengths and refractions were measured at intervals for up to 39 weeks. At th...
143 Citations
Cited By0
#1Yanfang Meng (WHU: Wuhan University)
#2Xuemin Hu (WHU: Wuhan University)
Last. Lianhong Zhou (WHU: Wuhan University)
view all 7 authors...
Clinical relevance: Acute acquired comitant esotropia (AACE) is characterised by the acute onset of diplopia which affects work and life.Background: To describe the clinical characteristics and dis...