Short-term motor and sensory outcomes in acquired nonaccommodative esotropia of childhood

Anna S. Kitzmann, Brian G. Mohney, Nancy N. Diehl

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Information on the management of acquired nonaccommodative esotropia (ANAET) of childhood is incomplete. Most prior reports combine the results of patients with both accommodative and nonaccommodative esodeviations. The primary objective of this study was to describe the early postoperative motor and sensory results of children with acquired nonaccommodative esotropia. The medical records of 72 consecutive children with ANAET who underwent surgical correction at East Tennessee State University College of Medicine from August 1, 1995 through October 1, 2001 were retrospectively reviewed. The median age at surgery for the 72 study patients was 43.8 months with a median angle of deviation of 30 prism diopters (PD) at both distance and near. Ten patients (13.9%) required a second surgical procedure while one patient (1.4%) required a third. The cumulative probability of a second surgery within two years of the first procedure was 24% (95% CI 4-43%). During a median postoperative follow-up period of 7.1 months, 64 (88.9%) patients were within 8 PD of orthotropia on the last postoperative examination. Normal postoperative stereoacuity was achieved in several children whose deviation began after 30 months of age, as well as in one child who was misaligned for at least two years prior to surgery. Although the postoperative follow-up on these patients with acquired nonaccommodative esotropia managed without prism adaptation is short, the motor results are similar to other studies on patients with acquired esotropia, with sensory outcomes superior to those obtained in children with congenital esotropia.

Original languageEnglish (US)
Pages (from-to)109-114
Number of pages6
JournalStrabismus
Volume13
Issue number3
DOIs
StatePublished - Sep 1 2005

Keywords

  • Acquired esotropia
  • Nonaccommodative esotropia
  • Normosensorial esotropia
  • Pediatric ophthalmology
  • Stereoacuity
  • Surgical outcome

ASJC Scopus subject areas

  • Ophthalmology

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