Accommodative esotropia in adults.
The accommodative convergence/accommodation (AC/A) ratio is thought to be fixed throughout life. We present 11 patients who, in adulthood, show a situational increase in their AC/A ratio. Since all patients had a history of accommodative esotropia with and without a nonaccommodative component, we feel the situational increase in the AC/A ratio is in response to the additional effort needed to correct the patients' facultative hyperopia. These patients demonstrate the importance that all adults with acute onset of commitant esotropia and a history of accommodative esotropia should wear full correction before a prism is incorporated into their glasses or surgical intervention is considered.
Shippman
S
S
Department of Orthoptics, New York Eye and Ear Infirmary, NY 10003.
Weseley
A C
AC
Cohen
K R
KR
D000065:Accommodation, Ocular; D000208:Acute Disease; D000328:Adult; D000368:Aged; D004948:Esotropia / Q000503:physiopathology* / Q000628:therapy; D005139:Eyeglasses; D005260:Female; D006801:Humans; D008297:Male; D011446:Prospective Studies