Esodeviations



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Investigation:

Differential diagnosis:


  • congenital esotropia

  • cyclic esotropia

  • nystagmus blockage syndrome

  • accommodative esotropia

  • Moebius’ syndrome

Treatment:


  • cycloplegic drops shoul be used (atropine,homatropine)

  • patiens with great hyperopia should wear full correction glasses sometimes bifocals

  • exercises to relax accommodation

Prognosis:


  • overconvergence associated with accommodation tend to lessen as the child grows older and may disapper in adults.
DEPRIVATION (SENSORY) ESOTROPIA

This condition is an esotropia secondary to unilateral blidness .(Fig.14)

Fig.14.A 7-year- old patient with congenital cataract in the right eye. Note sensory esotropia and torticollis ocularis.


Clinical findings:


  • unilateral eye diseases ( congenital cataract, leucoma cornea, atrophia nervi optici, toxoplasmosis, retinal tumors, foveal damage, trauma lesion)

  • anisometropia

Investigation:

Differential diagnosis:

Treatment:

Prognosis:

Consecutive esotropia

Consecutive esotropia or persistent esotropia may be present after exodeviation surgery.(Fig.15,16)

Fig.15 A 7-month–old patients with congenital exotropia before strabismus surgery.



Fig.16 Consecutive esotropia. The same patient - 4 years after exotropia surgery.


Clinical findings:
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