Acute Acquired Comitant Esotropia

Abstract

Acute acquired comitant esotropia (AACE) is an infrequent presentation of esotropia, characterized by sudden onset eye misalignment and diplopia. The purpose of this article is to review four cases of children diagnosed with AACE. We present 4 cases (children 610 years) of AACE. All of them suddenly developed diplopia and esotropia, with largeangle. After complete ophthalmological and neurological examinations in three cases out of four, strabismus surgery was conducted. In one case heterogenous neoplasm was detected and sent to an oncologist and neurosurgeon for evaluation and morphological verification. Bilateral medial rectus recession in two cases and unilateral recession of the medial rectus and resection of the lateral rectus in one case were performed. After strabismus surgery fully recovered binocular vision and was no longer noticeable diplopia. Neurological examinations and neuroimaging should be performed to exclude any potential intracranial disease. Surgery should be taken into consideration 6 months after the onset of the esotropia, if the deviation is stable. Strabismus surgery of AACE has good motor and sensory results and can successfully restore good binocular function The excessive use of smartphones may be associated with developing and increasing AACE.