Indian Journal of Clinical and Experimental Ophthalmology

Accommodative esotropia–A clinical study

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Article Type : Research Article

Author Details: S R Krishnamoorthy*

Volume : 5

Issue : 3

Online ISSN : 2395-1451

Print ISSN : 2395-1443

Article First Page : 382

Article End Page : 385


Accommodative esotropia or refractive esotropia is one of the commonest forms of strabismus or squint. It is usually seen in infants, children. Normal visual acuity of a new born child is first detected as early as sixth week of post natal life. Thereafter it progresses rapidly and achieves the visual acuity of a normal adult by the time the child reaches sixth year of life. Any refractory error especially hypermetropia, will tend to make the visual axis deviate resulting in refractive esotropia. Early detection and timely refractory error correction tend to bring the visual axis parallel and correct the strabismus.
Materials and Methods: Twenty three infants with an youngest age of 9 months and oldest age of 4 years that attended the clinical department from the period two years from 2008 to 2010 were selected and screened.
Results: All the twenty three children were screened thoroughly and their hypermetropic refractive errors were detected and proper spectacles were given till 8 years of their life and constant follow up was done for 4 more years. The convergent squint started to decrease after three months of usage of glasses and never returned.
Conclusion: Accommodative esotropia is one of the commonly seen squints of infants and young children. If properly detected, diagnosed, investigated and promptly treated with spectacles, this is the squint which gives best results without any surgical intervention.

Keywords: Accommodation, Convergent, Hypermetropia, Spectacle, Squint.

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