title: A-pattern esotropia with bilateral inferior oblique muscle overaction.
abstract: An eight-year-old boy with residual congenital esotropia, with an A-pattern and overacting inferior obliques is described. Unilateral medial rectus maximal recession and insertion supraplacement, combined with bilateral inferior oblique myectomies resulted in disappearance of the A-pattern. This is the fourth reported case of A-pattern esotropia with overacting inferior obliques. Factors related to horizontal rectus muscle function in up- and down-gazes may explain the pattern seen in this, and similar cases.
authors.affiliation: Department of Ophthalmology, American University of Beirut Medical Center, Lebanon.
authors.forename: E
authors.initials: E
authors.lastname: Khawam
authors.forename: E I
authors.initials: EI
authors.lastname: Traboulsi
mesh_terms: D002648:Child; D004948:Esotropia / Q000503:physiopathology* / Q000601:surgery; D006801:Humans; D008297:Male; D009801:Oculomotor Muscles / Q000503:physiopathology* / Q000601:surgery; D011184:Postoperative Period; D013285:Strabismus / Q000503:physiopathology*