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Zane F. Pollard, MD

Arch Ophthalmol. 1976;94(11):1912-1913.

Abstract
• Two infants developed accommodative esotropia during their first six months of life. One infant, whose age at onset was 4 months, had 4.50 diopters of hyperopia. The second infant, whose age at onset was 5 months, had 3.50 diopters of hyperopia. In both infants, the eyes completely aligned with hyperopic correction. Two points are stressed. First, when the amount of hyperopia exceeds +3.00, consideration should be given to an accommodative element as the cause of the esotropia, even if the child is only 4 to 6 months old. Second, even with small angles of esotropia, an accommodative element should be considered, if there is a substantial amount of hyperopia.

Author Affiliations
From the Department of Ophthalmology, Scottish Rite Hospital for Crippled Children, Atlanta.

Footnotes
Accepted for publication May 23, 1976.

Reprint requests to 2004 Peachtree St NW, Atlanta, GA 30309 (Dr Pollard).

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