Journal of the Korean Ophthalmological Society 2005;46(11):1837-1840.
Published online November 30, 2005.
The Characteristics of Acute Concomitant Esotropia of Adulthood.
Han Joo Cho, Sang Hoon Rah
Department of Ophthalmology, Wonju Christian Hospital Yonsei University, Wonju College of Medicine, Wonju, Korea. shrah@wonju.yonsei.ac.kr
성인에서 발생하는 급성 내사시의 임상적 특징
조한주,라상훈
Department of Ophthalmology, Wonju Christian Hospital Yonsei University, Wonju College of Medicine, Wonju, Korea
Correspondence:  Han-Joo Cho, M.D.
Abstract
PURPOSE
To identify the characteristics of adult patients who develop acute concomitant esotropia during adulthood. METHODS: Using a retrospective noncomparative method, this study evaluated the medical charts of 10 adults who were diagnosed with acute onset esotropia between January 2003 and May 2005. All patients presented the symptoms of estotropia when they were older than age 18. All patients in the study group had no previous ocular history, no cause of interruption of fusion, no history of systemic disease or head trauma, and no abnormal findings on neurologic examination. RESULTS: The average follow-up period was 10.8 months (range, 5 ~ 17 months). The mean age was 44.7 years (range, 18 ~ 62 years). The average refractive error was -1.43 diopter (range, -5.50 ~ +0.50 diopter). An operation was performed in one case. The prism diopter decreased according to follow-up in other patients. CONCLUSIONS: There are characteristics of acute onset esotropia of adulthood that differentiate it from existing esotropia. Almost all patients were myopic, showed nearly the same prism diopter between near and far vision, and deviation improved with follow-up.
Key Words: Acute onset esotropia;Adulthood


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