Accommodative Esotropia Follow-up

Updated: Jul 26, 2016
  • Author: Chris Noyes, MD, FAAFP; Chief Editor: Hampton Roy, Sr, MD  more...
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Follow-up

Further Outpatient Care

Patients who are treated for amblyopia should be seen at 1- to 4-month intervals depending on their age.

Stable patients are typically seen every 6 months.

Cycloplegic refraction is repeated at least annually and any time esotropia worsens.

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Prognosis

Permanent vision loss can occur if strabismus and amblyopia are not treated before patients are 4-6 years.

Early treatment of amblyopia may result in improved vision, leading to a better prognosis for binocular vision development and a more stable alignment for surgery if required. [5]

With patients aged 4-5 years, one can attempt to reduce the strength of the hyperopic correction to enhance fusional divergence and to maximize visual acuity.

If glasses are worn faithfully and fusional patterns are established, many patients with refractive esotropia can maintain straight eyes without wearing glasses by the time they are teenagers.

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