Nonsurgical treatment for esotropia secondary to Arnold-Chiari I malformation: A case report.
A 14-year-old girl with diplopia and esotropia secondary to Arnold-Chiari I malformation was surgically treated with Arnold-Chiari I malformation decompression (suboccipital craniectomy), C1 and partial C2 laminectomy, and duraplasty. The residual esotropia was treated with compensatory prisms and vision therapy more than 1 year after Arnold-Chiari malformation surgery. The esotropia was resolved after approximately 3.5 months of treatment. Five years later, the patient continued to maintain fusion without compensatory prism.
Baxstrom
Curtis R
CR
Northwest Vision and Learning Center, Pacific University College of Optometry, Forest Grove, Oregon, USA. baxstrom@earthlink.net
D000293:Adolescent; D001139:Arnold-Chiari Malformation / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D019299:Decompression, Surgical; D004948:Esotropia / Q000209:etiology* / Q000628:therapy*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009988:Orthoptics / Q000295:instrumentation / Q000379:methods