eMedicine Specialties > Ophthalmology > Extraocular Muscles
Esotropia, Accommodative: Treatment & Medication
Updated: Nov 7, 2007
- Overview
- Differential Diagnoses & Workup
- Treatment & Medication
- Follow-up
Treatment
Medical Care
- Prescription of the full amount of hyperopic correction provides adequate treatment for refractive (accommodative) esotropia in 75% of cases.
- Anticholinesterase drops or ointments in patients with a normal AC/A ratio are not as effective as glasses.
- In cases of amblyopia, early treatment by patching the normal eye is the mainstay of treatment.
Surgical Care
- Surgery may be required if the esodeviation becomes refractory to optical treatment. Surgery often is needed when treatment is delayed.
- Surgical treatment typically entails recession or weakening of the inward-pulling medial rectus muscle in each eye. In cases involving amblyopia, surgery can be limited to only the amblyopic eye by performing a recession of the medial rectus and a resection or strengthening of the lateral rectus.
- Surgery is performed for the nonaccommodative component only. The operation is not intended to discontinue use of glasses.
More on Esotropia, Accommodative |
| Overview: Esotropia, Accommodative |
| Differential Diagnoses & Workup: Esotropia, Accommodative |
Treatment & Medication: Esotropia, Accommodative |
| Follow-up: Esotropia, Accommodative |
| References |
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References
Beers MH, Berkow R. The Merck Manual of Diagnosis and Therapy. 1999.
Berson FG. Basic Ophthalmology for Medical Students and Primary Care Residents. 1993.
Catalano RA, Nelson LB. Pediatric Ophthalmology: A Text Atlas. 1994.
Helveston EM, Ellis FD. Pediatric Ophthalmology Practice. 1980.
Kunimoto DY, et al. The Wills Eye Manual: Office and Emergency Room Diagnosis and Treatment of Eye Disease. 2004.
Wright KW, et al. Pediatric Ophthalmology and Strabismus. 1995.
Further Reading
Keywords
refractive accommodative esotropia, accommodative esotropia, strabismus, eye misalignment, misalignment of eyes, inward deviation of eye, inward eye deviation, hyperope, hyperopia, farsighted, farsightedness
Treatment & Medication: Esotropia, Accommodative