title: An expanded view of infantile esotropia: bottoms up!
abstract: A recent editorial in the Archives assigned the primary pathogenesis of infantile esotropia to the visual cortex. This analysis addresses the limitations of this timeworn view and advances the perspective that infantile esotropia is a cortico-mesencephalic-cerebellar disorder wherein binocular cortical maldevelopment permits atavistic subcortical visual pathways to remain operational. This integrated neuroanatomical model predicts that primary neurodevelopmental disorders involving the accessory optic system or its connections to the cerebellum can also give rise to infantile esotropia.
authors.affiliation: Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota 55905, USA. brodsky.michael@mayo.edu
authors.forename: Michael C
authors.initials: MC
authors.lastname: Brodsky
mesh_terms: D000818:Animals; D002675:Child, Preschool; D004948:Esotropia / Q000503:physiopathology*; D006801:Humans; D007223:Infant; D008251:Macaca; D017120:Nystagmus, Optokinetic / Q000502:physiology; D009801:Oculomotor Muscles / Q000503:physiopathology*; D015348:Vision, Binocular / Q000502:physiology; D014793:Visual Cortex / Q000503:physiopathology*; D014795:Visual Pathways / Q000503:physiopathology