Clinical Characteristics and Management of Patients with Esotropia and Moderate Myopia

Abstract

Although the incidence of acquired esotropia associated with moderate myopia is on the rise, there is minimal research on the clinical profile and pathophysiology of this condition. To gain deeper insights into the clinical characteristics and management of these patients, a literature search was conducted, resulting in the identification of six relevant studies. Collectively, these studies encompassed a total of 304 patients. The mean age of onset of esotropia across all studies was 37.52 years. The mean deviations for distance were not considerably larger than those reported at near, even though symptoms were reported more frequently at distance. The overall mean of the distance deviation was 25.16 prism diopters, and the overall mean of the near deviation was 20.82 prism diopters. There were very few reports of vertical deviations across all studies. Limited data suggests that increased near work may be associated with larger esodeviations. Only three articles assessed surgical management; however, it appears that surgical correction may need to be increased by approximately one-third compared to traditional surgical tables and smaller deviations may require even greater augmentation.

Keywords: Bielschowsky esotropia; Esotropia; myopia.