Infantile esotropia is a form of ocular motility disorder where there is an inward turning of one or both eyes, commonly referred to as crossed. Resumen. Este ensayo reporta la presencia de Incomitancia Horizontal tanto en su forma pasiva como activa en pacientes con endotropia congénita y que. Characterization and classification of esotropia and its management with botulinum toxin. Article · January Maniobras exploratorias en la endotropia congénita.

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This is a small, rhythmic, horizontal movement of the eyes when one eye is closed or covered. It is the most frequent type of natural strabismus not only in humans, but also in monkeys.

Transactions of the American Ophthalmological Society. Where a patient tends to consistently fixate with one eye and squint with the other, the eye that squints is likely to develop some amblyopia. Where the degree of error is small, the child will typically be able to maintain control because the amount of over-accommodation required to produce clear vision is also small.

Medical therapy should be attempted. At what age should surgery for infantile esotropia be done? If one eye is turned more frequently than the other, there is increased risk for the development congrnita amblyopia.


Congenits allergic Pterygium Pinguecula Subconjunctival hemorrhage. Intraocular infection is rare following strabismus surgery Patients should be followed closely for amblyopia, even endotropja they achieve good motor alignment. Most children with infantile esotropia demonstrate a deficit of depth perception when old enough to be tested reliably.

For the similar condition but where the eyes deviate outward, see exotropia. Additional tests may include prism adaptation and diagnostic occlusion.

It is, however, associated with other ocular dysfunctions including oblique muscle over-actions, Dissociated Vertical Deviation DVD, Manifest Latent Nystagmusand defective abduction, which develops as a consequence of the tendency of those with infantile esotropia to ‘cross fixate.

The origin of the condition is unknown, and its early onset means that the affected individual’s potential for developing binocular vision is limited. It is also advised to perform the exam without touching the child if possible. What is infantile esotropia? Concomitant esotropia can itself be subdivided into esotropias that are ether constant, or intermittent.

Prism adaptation testing PAT may assist in this determination. Children with infantile esotropia are usually not more nearsighted or farsighted than endottropia without crossing.

Esotropia – Wikipedia

Untreated infantile esotropes can develop excellent vision in each eye, but bifoveal fixation with full binocular function will not be achieved. Infantile Esotropia From EyeWiki. This alteration between the left and right eye is mostly spontaneous, but may be voluntary in some cases. Identification of the proper deviation in infancy without evidence of cranial nerve palsies or systemic disease to explain the deviation.


The chances of an esotropia developing in a hyperopic child will depend to some degree on the amount of hyperopia present.

Ophthalmoparesis Chronic progressive external ophthalmoplegia Kearns—Sayre syndrome. Fortunately, accommodative esotropia can usually be treated with spectacles. Esotropia is an inward turning of one or both eyes. Understanding visual milestones and anatomic development is mandatory for precise visual assessment of the child. Look up esotropia in Wiktionary, the free dictionary.

Infantile Esotropia

Detailed history taking regarding birth weight, complications of birth, the health of the child and developmental milestones may help in the management of the case. Where the degree of hyperopia is large, the child may not be able to produce clear vision no matter how much extra-accommodation is exerted and thus no incentive exists for the over-accommodation and convergence that can give rise to the onset of esotropia.

In a left esotropiathe left eye ‘squints,’ and in a right esotropia the right eye ‘squints. The term is from Greek eso meaning “inward” and trope meaning “a turning”. American Association for Pediatric Ophthalmology and Strabismus.

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