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Acute concomitant esotropia of adulthood is its own entity, study suggests

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TEL-AVIV, Israel — All patients with acute adult onset of concomitant esotropia regained normal stereopsis after surgery in a recently reported case series. The series author suggests that "acute concomitant esotropia of adulthood should probably be classified as a distinct subgroup of acute-onset esotropia."

Abraham Spierer, MD, reviewed the records of all adults with acute-onset concomitant esotropia seen at his institution from 1990 to 1997. He identified 10 patients who developed the syndrome after age 16.

In these patients, mean age at time of the initial exam was 38. Mean myopic error was –4.1 D. Mean angle of esotropia was 33.8 Δ D.

Postoperatively, all patients were orthophoric or minimally esophoric. All 10 patients had stereoacuity of 40 arc seconds.

The study is published in the May issue of Ophthalmology.