Keywords: Amblyopia, Refractive accommodative esotropia, Stereopsis.
Accommodative esotropia is described as convergent deviation of the eyes related with activation of accommodation reflex.
reported that high hypermetropia was not risk factor for binocular vision in accommodative esotropia.10 We also did not observe any relation between them.
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.
is most commonly found in children during their first decade of life.
Previous partially or fully accommodative esotropia?
Anisohyperopia with alternating fully accommodative esotropia.
It is possible for a decompensated fully accommodative esotropia or decompensated microtropia to result in the patient losing their binocular function.
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.
As many as 15% of patients with infantile esotropia may have infantile accommodative esotropia
, nearly half of whom can be fully straightened with spectacles.
a) This is a fully accommodative esotropia. Refer to the hospital eye service for strabismus surgery
c) This is a fully accommodative esotropia. Prescribe spectacles for constant use and monitor binocular functions every 6 months