ONSET OF ESOTROPIA AND DIPLOPIA IN ADOLESCENCY: A CASE OF POST-TRAUMATIC OR BENIGN DECOMPENSATED ESOTROPIA?

Title ONSET OF ESOTROPIA AND DIPLOPIA IN ADOLESCENCY: A CASE OF POST-TRAUMATIC OR BENIGN DECOMPENSATED ESOTROPIA?
Author, Co-Author Elizabeth Caloroso, M. Opt., Esaam Ismail
Topic
Year
1992
Day
Sunday
Program Number
Poster 46
Room
Great Hall
Affiliation
Abstract An 11 year old boy presented with complaints of intermittent blur and diplopia at distance and near together with occasional frontal/temporal headaches when awakening. History revealed that an intermittent esotropia had been noted between ages 2-4 yrs and there was paternal esotropia. Four separate incidents of head trauma at ages 2, 3, 5 and 10 years were reported. An intermittent, alternating, concomitant esotropia of variable magnitude (15 to 35 p.d.) was exhibited at far and near with reduced accommodative facility and plus acceptance. Other ocular diagnostic data were negative and a neurological evaluation revealed no abnormalities. Therapy included BO prisms and orthoptics to stabilize binocular vision and a small esophoria without symptoms was eventually manifested. This case illustrates the need for careful differential diagnosis and describes the clinical strategy. The etiological possibilities of acquired esotropia and the possible secondary insults to sensorimotor fusion following head trauma are also presented.
Affiliation of Co-Authors
Outline