Surgical Treatment for Partially Accommodative Esotropia Associated with a High Accommodative Convergence/ Accommodation Ratio - European Medical Journal

Surgical Treatment for Partially Accommodative Esotropia Associated with a High Accommodative Convergence/ Accommodation Ratio

General Healthcare
Download PDF
Author:
Serpil Akar
Disclosure:

No potential conflict of interest.

Citation:
EMJ Ophth. ;1:27-33.
Keywords:
Ophthalmologic Surgical Procedures, Ophthalmological Surgery, Partially Accommodative Esotropia, Procedures

Each article is made available under the terms of the Creative Commons Attribution-Non Commercial 4.0 License.

Abstract

Partially accommodative esotropia, associated with a high accommodative convergence/accommodation (AC/A) ratio, is an acquired strabismus characterised by a manifest esotropia at distance with a larger constant esotropia at near when fixing on an accommodative target, which responds only partially to spectacle correction. The non-accommodative component of the strabismus is corrected surgically. A number of different surgical approaches have been described in patients with partially accommodative esotropia associated with a high AC/A ratio. These include standard or augmented recession, slanted recession, recession with posterior fixation suture or pulley fixation suture of the medial rectus muscle, or a combination of resection and recession of the MR muscle. In this review, the different surgical treatment modalities for partially accommodative esotropia associated with a high AC/A ratio are discussed.

Please view the full content in the pdf above.

Rate this content's potential impact on patient outcomes

Thank you!

Please share some more information on the rating you have given