M.D. Accommodative esotropia frequently follows successful surgery for congenital esotropia. A study was undertaken to document its incidence and identify patients who are at higher risk for its development. The time for development of an accommodative esotropia was recorded for those patients who later required glasses to maintain alignment within 10 pd. One hundred fifty-six patient charts were available. Forty one patients were not seen by age twelve months, twelve did not have a history of onset prior to six months of age and fifteen did not have adequate follow-up.
Accommodative esotropia is a frequent sequela to surgery for congenital esotropia.
Surgeons and parents should be aware of this possibility. Although not completely predictive, hyperopia increases the risk of developing an accommodative component. Please send comments and suggestions. You may also attach electronic files to e-mail.