Management of partial accommodative esotropia


	Home \| General Information \| E-Resources \| E-Consultation \| E-Learning \| Site Map \| ORBIS \| Feedback


	Home > E-Resources Home > Ask a Professor Home > Strabismus Home > Management of partial accommodative esotropia

QUESTION OF THE WEEK

VIDEO LIBRARY

OPHTHALMOLOGY BOOKS & MANUALS

Nursing Education

Clinical Challenges

The Ophthalmology Minute

Eye Care Equipment

Ask a Professor

mLearning

ORBIS Program Features

FREE ONLINE JOURNALS

OPHTHALMOLOGY LINKS

I Have a Question

Print this Page

Strabismus : Management of partial accommodative esotropia
Surgery for alternating esotropia | Antibiotic/steroid use after surgery | Surgery for nystagmus | Operating for thyroid ophthalmopathy | Pulley displacement | Botox treatment for nystagmus | IOL's versus contact lenses in congenital cataract | Treatment of strabismus secondary to retrobulbar anesthetic injection | Sensory XT after visual field defects | Best overcorrection for XT | Implant after enucleation | Best immediate postoperative alignment for intermittent exotropia | Refractive error changes following strabismus surgery | Accurate measurements of esotropia without a prism test | Margins of the horizontal muscle in vertical transpositions | Distinguishing esotropic Duane from congenital VI nerve palsy | Effect of ROP laser treatment on eye exam | How to manage intermittent esotropia | Management of partial accommodative esotropia | Incidence of heart block in CPEO cases | Inferior oblique anterior transposition for DVD | Spread of comitance of paralytic squint | Esotropia caused by congenital cataract | When should surgery be done for congenital esotropia? | Surgical treatment of exotropia greater in up gaze | Postop care for essential infantile esotropia | Beren's and Girand's muscle transposition | Acquired vertical diplopia | Diagnosing a longstanding palsy with muscle sequelae | Measuring from the limbus in rectus recession surgery | Surgical straightening of esotropic blind eye | Esotropia - macular ectopia | Ptosis and strabismus - which to operate first? | Prism adaptation test | Muscles involved in monocular elevation deficit | Cause of head tilt in infantile ET | Esotropia with high AC/A | Cyclic esotropia | Use of executive bifocal in accommodative esotropia | Infantile ET, essential ET, and infantile ET syndrome | Stereo acuity deterioration in (X)T | Reoperation in consecutive esotropia | Reoperation in congenital ET patient | Direction of prisms in Krimsky test | Incomitant strabismus | Duane syndrome | Headache during study | Alternate occlusion for bilateral amblyopia | Conjunctival recession

"I would like to have recent information about the diagnosis and management of partial accommodative esotropia."

By this I assume that you want to learn more about the management of residual esotropia after fully correcting a refractive or refractive accommodative esotropia patient with spectacles. This condition ordinarily requires surgery. The scheme for determining the amount of surgery to treat this condition was studied.* The results were described as shown in the scheme below for the prism adaptation test which is also found on the website in the Strabismus Minute, Vol. 2.

Step 1 - Residual ET after wearing full plus correction; patient remains ET.

Step 2 - Fully correct with Fresnel prism then remeasure after a few hours or a few days

Step 3

Step 4

diagram

* Prism Adaptation Research Group: Efficacy of prism adaptation in the surgical management of acquired esotropia. Arch Ophthalmol 108:1248-1256, 1990.

- Eugene M. Helveston, M.D.