Varied aetiology of acute acquired comitant esotropia: A case series

Vasudha Kemmanu; Kaushik Hegde; Raghavendra Seetharam; Bhujanga K Shetty

doi:10.4103/0974-620X.99373

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CASE REPORT

Year : 2012 | Volume : 5 | Issue : 2 | Page : 103-105

Varied aetiology of acute acquired comitant esotropia: A case series

Vasudha Kemmanu¹, Kaushik Hegde¹, Raghavendra Seetharam², Bhujanga K Shetty³
¹ Department of Pediatric Ophthalmology and Strabismus, Narayana Nethralaya, Bangalore, Karnataka, India
² Department of Neuro Ophathlmology, Narayana Nethralaya, Bangalore, Karnataka, India
³ Cataract Services, Narayana Nethralaya, Bangalore, Karnataka, India

Correspondence Address:
Vasudha Kemmanu
Department of Pediatric Ophthalmology and Strabismus, Narayana Nethralaya, Super Specialty Eye Hospital and Post Graduate Institute of Ophthalmology, 121/C, Chord Road, 1st ‘R’ Block, Rajajinagar, Bangalore – 560 010, Karnataka
India

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/0974-620X.99373

This is an observational case series of five cases of acute acquired comitant esotropia (AACE) with diplopia, aged between 5 and 12 years. The duration of presenting complaints ranged from 4 days to 2 months. A detailed ophthalmic evaluation and neuroimaging were done on all patients. Three patients were found to have intracranial pathology. Two patients had pontine glioma and one patient had benign intracranial hypertension. One patient was diagnosed as accommodative spasm and one patient was diagnosed as having Type 2 AACE. We would like to conclude that AACE can be of a varied aetiology ranging from convergence spasm to those harboring serious intracranial diseases. We reiterate that AACE has a small but significant association with intracranial disorders. Neuroimaging is a definite need in cases which cannot be proved to be either Type 1 or 2.

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