Refractive accommodative esotropia (RAE) is an esotropia that is restored to orthotropia at all fixation distances and all gaze positions by optical correction of the underlying hypermetropic refractive error .
Refractive accommodative esotropia was defined as an esotropia that was corrected to >10 prism diopters (PD) of orthotropia at both far and near distance with use of the full cycloplegic hyperopic correction.
The present study revealed that psychosocial problems might be related to the pathogenesis of refractive accommodative esotropia.
However, accommodative esotropia patients weight blur cues more than most to drive their responses--this is why glasses work to correct their strabismus angle, and for them, their high AC/ A ratio does matter.
Adequate cycloplegic effect could be achieved with tropicamide in a teenage patient suspected of having latent hypermetropia, for example, whereas cyclopentolate is likely to be required for an infant suspected of having an accommodative esotropia. Those with light coloured irides may exhibit an increased response to drugs as compared with darkly pigmented irides, and therefore a lower concentration/dose ought to be selected.