Accommodative Esotropia Workup

Updated: Jun 23, 2021
  • Author: Reecha S Bahl, MD; Chief Editor: Edsel B Ing, MD, PhD, MBA, MEd, MPH, MA, FRCSC  more...
  • Print

Laboratory Studies

Laboratory studies are traditionally unnecessary in the evaluation and work up of accommodative esotropia. However, if there is concern for Myasthenia gravis or thyroid eye disease, appropriate studies may be undertaken.


Imaging Studies

Typically, imaging is not required to aid in the diagnosis of traditional accommodative esotropia. However, sometimes patients present with an acute onset of esodeviations after illness or minor trauma, which is unmasked accommodative esotropia. These patients need neuroimaging (MRI, CT, etc.) to rule out other pathology as the etiology of an acquired esotropia. Additionally, if esotropia is identified in conjunction with an abduction deficit, evaluation should proceed with neuroimaging. [6] The patient’s history and clinical exam should be taken into account when deciding to obtain neuroimaging. Although rare, intracranial tumors and other CNS tumors can result in a life-threatening outcome if an appropriate work up is not performed.  



Refer to “Surgical Care” section.