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Indian Journal of Clinical and Experimental Ophthalmology


Management strategies in concomitant esotropia in children – A prospective study


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Author Details: Raiza Paul, Suma Unnikrishnan

Volume : 3

Issue : 2

Online ISSN : 2395-1451

Print ISSN : 2395-1443

Article First Page : 173

Article End Page : 176


Abstract

Aim: To study the functional and cosmetic outcome in the management of Concomitant Esotropia in children.
Settings & Design: Observational case series.
Materials & Method: 70 children who presented with concomitant esotropia at the out-patient clinic of the Ophthalmology Department in a tertiary care centre in south India over a period of 1 year. Each patient underwent a comprehensive ophthalmological evaluation and their initial visual acuity, binocular fusion and ocular deviation were documented. Management options included occlusion, optical correction and surgery for esotropia. During follow up visits their visual outcome were analyzed in terms of visual acuity, binocular fusion, and ocular alignment.
Result: 44.3 % were males and 55.7 % females.51.4% had improvement in visual acuity which was more in the surgical group. Improvement in BSV was also more marked among the surgical group 63% vs 17.5% in the non-surgical management group. The mean ocular deviation was 32.14 pd of esotropia at initial visit which became 14.46 pd at 6 months follow up. Among the surgical group 72% achieved the desirable goal of <10 pd deviation whereas only 17.5% of patients in the non-surgical group had deviation <10pd.
Conclusion: The patients included under the surgical management group showed better outcome in terms of binocular single vision restoration, improvement in visual acuity as well as better cosmetic alignment.

Keywords:
Esotropia, Visual acuity, Alignment, Surgical management

Doi No:-10.18231