Infantile glaucoma associated with contralateral esotropia.
A 20-month-old white male was first seen with an esotropia at four months of age by his pediatrician. The esotropia had been present by history since early in life. After pediatric evaluation, which demonstrated delayed motor development, he was referred for ophthalmic consultation. A comprehensive ophthalmic evaluation established the diagnoses of infantile glaucoma and myopia of the preferred eye, and esotropia and amblyopia of the emmetropic eye. The infantile glaucoma was surgically treated and amblyopia reversed following patching of the glaucomatous eye. Orthophoria was achieved. Esotropia may be the presenting manifestation of unilateral infantile glaucoma of the contralateral eye. Comprehensive appraisal should include pediatric, neurologic, and ophthalmic evaluation.
D000550:Amblyopia / Q000150:complications* / Q000628:therapy; D002508:Cephalometry; D005901:Glaucoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006130:Growth Disorders / Q000150:complications; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009216:Myopia / Q000150:complications; D009468:Neuromuscular Diseases / Q000150:complications; D013285:Strabismus / Q000150:complications*