Critical Period for Restoration of Normal Stereoacuity in Acute-onset Comitant Esotropia

Ohtsuki, Hiroshi; Hasebe, Shinji; Kobashi, Rie; Okano, Masaki; Furuse, Takashi

doi:10.1016/s0002-9394(14)75803-9

Cited by 29 publications

(34 citation statements)

References 3 publications

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“…The findings of this study are in agreement with those of Ohtsuki et al, 6 who found no relationship between the time of the operation and the postoperative development of stereopsis and no differences in the proportion of patients with bifixation between groups with early and delayed operation. All of the patients in this series achieved normal stereopsis even though the operation was performed 2 to 5 years after the onset of esotropia.…”

Section: Discussionsupporting

confidence: 93%

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Acute concomitant esotropia of adulthood

Spierer

2003

Ophthalmology

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Purpose:To identify the characteristics of adult patients who develop acute concomitant esotropia of adulthood.Design: Retrospective noncomparative case series. Participants: Ten patients were included in this study. Intervention:The charts of all adults with acute-onset concomitant esotropia who were examined at our institute between 1990 and 1997 were reviewed, and those who had developed the syndrome when they were older than the age of 16 years were included in this study. All participants underwent a complete ocular and physical examination, including brain and orbital computed tomography.Main Outcome Measures: Angle of esotropia, measured by the prism and cover test. Results:The mean age Ϯ standard deviation at the time of the ocular and physical examination was 38 Ϯ 18.6 years (range, 18 -70 years). The mean myopic error was Ϫ4.1 Ϯ 3.2 diopters (range, ϩ2.0 to Ϫ8.5 diopters). Nine of the 10 patients were myopic. The mean angle of esotropia was 33.8 Ϯ 14.7 prism diopters (range, 18 -60 prism diopters). The mean period of follow-up was 2.2 Ϯ 1.0 years (range, 1-4 years). After surgery, all patients were orthophoric or minimally esophoric, and in all of them, stereoacuity (measured by the Titmus stereofly test) was 40 arc seconds.Conclusions: In a well-defined group of adult patients with acute-onset concomitant esotropia, almost all were myopic, and all regained normal stereopsis after surgery. Acute concomitant esotropia of adulthood should probably be classified as a distinct subgroup of acute-onset esotropia.

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Section: Discussionsupporting

confidence: 93%

“…The success rate in re-establishing good stereoscopic vision after surgery in this group of patients is high, unlike in children described as having esotropia of acute onset. 6,8,9 …”

Section: Discussionmentioning

confidence: 99%

Acute concomitant esotropia of adulthood

Spierer

2003

Ophthalmology

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“…[3][4][5][6][7][8] However, a high percentage of high-grade stereopsis has been found in some case series. Savino and colleagues 8 reported on the 1-year follow-up of 5 patients with AACE type 2 and achieved good stereoacuity (30 00 to 60 00 ) in all their patients.…”

Section: Discussionmentioning

confidence: 99%

“…7 Patients with preexisting phoria or microtropia with subnormal binocularity might have negatively influenced the outcome. 4,12 Due to difficulties distinguishing between decompensated monofixators with microdeviations and AACE type 2, some original monofixators may have slipped in by mistake. This may also hold true for some of our patients with low-grade stereopsis or suppression.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 Treatment options include prisms, botulinum toxin therapy, and, most commonly, strabismus surgery; however, the level of binocularity achieved by different patients varies markedly. [3][4][5][6][7][8] Most previous reports presented only small case series 3,8,9 or even single cases with AACE type 2. 5, 6 We set out to ascertain the clinical features and surgical outcome of AACE type 2 in a larger case series of children with specific attention to the longterm follow-up.…”

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confidence: 99%

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Long-term follow-up of children with acute acquired concomitant esotropia

Sturm

Menke

Knecht

et al. 2011

Journal of American Association for Pediatric Ophthalmology and

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Neurological pathologies in acute acquired comitant esotropia

Nouraeinejad

2023

Graefes Arch Clin Exp Ophthalmol

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Background Acute acquired comitant esotropia (AACE) is an uncommon subtype of esotropia characterized by sudden and usually late onset of a relatively large angle of comitant esotropia with diplopia in older children and adults. Methods A literature survey regarding neurological pathologies in AACE was conducted using databases (PubMed, MEDLINE, EMBASE, BioMed Central, the Cochrane Library, and Web of Science) in order to collect data for a narrative review of published reports and available literature. Results The results of the literature survey were analyzed to provide an overview of the current knowledge of neurological pathologies in AACE. The results revealed that AACE with unclear etiologies can occur in many cases in both children and adults. Functional etiological factors for AACE were found to be due to many reasons, such as functional accommodative spasm, the excessive near work use of mobile phones/smartphones, and other digital screens. In addition, AACE was found to be associated with neurological disorders, such as astrocytoma of the corpus callosum, medulloblastoma, tumors of the brain stem or cerebellum, Arnold-Chiari malformation, cerebellar astrocytoma, Chiari 1 malformation, idiopathic intracranial hypertension, pontine glioma, cerebellar ataxia, thalamic lesions, myasthenia gravis, certain types of seizures, and hydrocephalus. Conclusions Previously reported cases of AACE with unknown etiologies have been reported in both children and adults. However, AACE can be associated with neurological disorders that require neuroimaging probes. The author recommends that clinicians should perform comprehensive neurological assessments to rule out neurological pathologies in AACE, especially in the presence of nystagmus or abnormal ocular and neurological indications (e.g., headache, cerebellar imbalance, weakness, nystagmus, papilloedema, clumsiness, and poor motor coordination).

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Critical Period for Restoration of Normal Stereoacuity in Acute-onset Comitant Esotropia

Cited by 29 publications

References 3 publications

Acute concomitant esotropia of adulthood

Acute concomitant esotropia of adulthood

Long-term follow-up of children with acute acquired concomitant esotropia

Neurological pathologies in acute acquired comitant esotropia

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