Journal of the Korean Ophthalmological Society 2002;43(3):539-543.
Published online March 1, 2002.
Clinical Aspect of Acute Comitant Esotropia.
Yun Tae Kim, Myung Mi Kim
Department of Ophthalmology, Yeungnam University College of Medicine, Daegu, Korea. mmk@med.yu.ac.kr
급성 일치내사시의 임상양상
김윤태 ( Yun Tae Kim ) , 김명미 ( Myung Mi Kim )
Abstract
PURPOSE
To evaluate the clinical aspect of acute comitant esotropia and the prognosis for the return of binocular function. METHODS: A clinical study was carried out for all patients who had been diagnosed as acute comitant esotropia with diplopia from July 1987 to April 1994. Each patient underwent a full opthalmological examination including history, family history, refractive error, prism cover test and sensory evaluation. RESULTS: Sixteen patients met the inclusion criteria. Ages of these patients ranged from 5 to 46 years. Three patients with history of occlusion were Swan type (type I), 5 patients without history of occlusion were Franceschetti type (type II) and 8 patients with myopia were Bielschowsky type (type III). Fifteen patients were treated with strabismus surgery and 12 patients restored binocular function. CONCLUSIONS: Acute comitant esotropia developed mostly over 5 year-old age and can be classified as three types. If the patient has no apparent cause for acute comitant esotropia, the underlying neurologic disorder should be considered. When orthophoria is achieved by strabismus surgery, the prognosis of binocular function is expected to be good.
Key Words: Acute comitant esotropia;Prognosis


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