A study of clinical, etiological demographic profile of patients with concomitant esotropia between ages 0-10 years

Abstract

A study of clinical, etiological demographic profile of patients with concomitant esotropia between ages 0-10 years in a tertiary care hospital to assess various clinical patterns and refractive errors.It is a prospective observation study of patients with concomitant esotropia conducted at Sarojini Devi Eye Hospital, Hyderabad from September 2016 to March 2018. The study included 100 patients who attended the squint department, with chief complaints of inward deviation of eyes. A total of 100 patients were examined, 37 (37%) were of the 0-5 age group, and 63 (63%) were of the 6-10 age group. 41(41%) were male 59 (59%) were of female. 50 (50%) were from urban areas and 50 (50%) rural areas.The majority of the cases were of infantile esotropia 39 (39%) followed by Basic esotropia 34 (34%) sensory esotropia 12 (12%), accommodative esotropia 6 (6%), partially accommodative esotropia 5 (5%) and esotropia in myopia 4 (4%).Amblyopia was seen in 69 (69%) of cases which majority improved with amblyopia therapy. The most common refractive error was hypermetropia 76 (76%) and Myopia was seen in 24 (24%) of cases. AHP in 5.12% of cases, DVD in 15.38%, of cases, IOOA in (64.10%), DVD and IOOA in 10.25% of cases, manifest nystagmus in 10.25% of cases, manifest latent nystagmus in 5.12% of cases were seen.This study provides data on the most prevalent forms and associations of concomitant esotropia. Knowledge of various clinical types and timely intervention will help in the development of binocular single vision.