Cyclic Esotropia: a Case Report
Journal of Ophthalmic and Optometric Sciences,
Vol. 2 No. 2 (2018),
3 April 2018
,
Page 25-29
https://doi.org/10.22037/joos.v2i2.29162
Abstract
In this case report, two cases with diagnosis of cyclic esotropia are presented. Both patients complained of periodic alternative inside eye deviation with an interval of one day. Para- clinical tests including magnetic resonance imaging (MRI) of the brain and electroretinogram (ERG) were normal and no neurological abnormality or paralysis was detected. Patients were observed in two consecutive days to confirm the diagnosis of cyclic esotropia. Both patients underwent bilateral medial rectus recession surgery as routinely performed for non- cyclic esotropic patients, and the postoperative orthotropia with the best corrected visual acuity (BCVA) of 20/20 was obtained in both cases. In conclusion surgical and non-surgical treatments can be used for cyclic esotropia similar to what is routinely performed for non- cyclic strabismic patients. Successful therapeutic outcomes might be obtained in such patients achieving normal binocular fusion in several days with no ocular deviation.
Keywords: Cyclic; Esotropia; Treatment.
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References
Ngo CS, Araya MP, Kraft SP. Cyclic strabismus in adults. J AAPOS. 2015;19(3):279-81.
Di Meo A, Costagliola C, Della Corte M, Romano A, Foria C, Di Costanzo A. Adult-onset cyclic esotropia: a case report. Optom Vis Sci. 2013;90(3):e95-8.
Costenbader FD, Mousel DK. Cyclic Esotropia. Arch Ophthalmol. 1964;71:180-1.
Ma L, Kong D, Fan Z, Zhao J. Consecutive cyclic esotropia after surgery for intermittent exotropia. Can J Ophthalmol. 2014;49(5):e107-8.
Helveston EM. Surgical treatment of cyclic esotropia. Am Orthopt J. 1976;26:87-8.
Voide N, Presset C, Klainguti G, Kaeser PF. Nonsurgical treatment of cyclic esotropia. J AAPOS. 2015;19(2):196-8.
Pillai P, Dhand UK. Cyclic esotropia with central nervous system disease: report of two cases. J Pediatr Ophthalmol Strabismus. 1987;24(5):237-41.
Drummond S, Weir C, Buchan D, Dutton GN. Cyclical esotropia following surgery for partially accommodative esotropia. Br J Ophthalmol. 2004;88(6):835-6.
Wang X, Chen B, Liu L. Cyclic esotropia with development of a high accommodative convergence to accommodation ratio after surgery for intermittent exotropia. Int Ophthalmol. 2017;37(4):1069-72.
Pott JW, Godts D, Kerkhof DB, de Faber JT. Cyclic esotropia and the treatment of over-elevation in adduction and V-pattern. Br J Ophthalmol. 2004;88(1):66-8.
Souza-Dias C, Kushner BJ, Rebouças de Carvalho LE. Long-Term Follow-Up of Cyclic Esotropia. J Binocul Vis Ocul Motil. 2018;68(4):148-53.
Riordan-Eva P, Vickers SF, McCarry B, Lee JP. Cyclic strabismus without binocular function. J Pediatr Ophthalmol Strabismus. 1993;30(2):106-8.
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