Esodeviations



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Clinical findings:

Differential diagnosis:


Investigation, treatment and prognosis : similar like other accommodative esotropias.
CYCLIC ESOTROPIA

Cyclic strabismus is a rare type of esodeviation and classically a large-angle esotropia alternating with ortophoria or small –angle deviation on 48-hour cycle.(Fig.11,12)

Clinical findings:


Investigation:

Differential diagnosis:

Treatment:

Prognosis:


Fig.11 Small angle deviation on the 4-month-old child with cyclic esotropia.

Fig.12 The same patient on altenating day.with cyclic esotropia in the right eye


ACUTE ACQUIRED ESOTROPIA

This is the rare condition occurs in older children or adults witch characterized by the dramatic onset of the large angle esotropia with diplopia. Fig.13

Fig.13 A 10-year- old girl with acute acquired esotropia in the left eye.


Clinical findings:

  • mild hyperopic or myopic refractive error(from-5,5 to +3,0)

  • diplopia

  • concomitant strabismus in all direction of gaze

  • strabismus is usually large 30-60PD

  • patients can fuse if the angle is eliminated with prism

  • absence of any neurologic disease
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