Persisting accommodative esotropia
E. L. Raab and A. Spierer
This report examines the persistence of many cases of accommodative
esotropia well beyond the expected time of resolution (age 10 to 12 years)
and the potential usefulness of any associated clinical features to predict
timely or delayed disappearance. In a series of 202 patients, there was no
discrete age of improvement and more than half persisted after age 10
years. The results were similar for both high and normal accommodative
convergence/accommodation ratio cases. Initial hyperopia did not predict
persistence; subsequent increases prior to age 7 years, and decreases
thereafter, were different statistically but were clinically similar.
Moreover, the occurrence of inferior oblique overaction and of dissociated
vertical deviation, as well as a family history of strabismus, did not
predict persistence or delayed improvement.
