title: Evaluation and Management of Acute Acquired Comitant Esotropia in Children.
abstract: Acute acquired comitant esotropia (AACE) is characterized by a sudden-onset eye misalignment with an equal angle of deviation in all fields of gaze. This form of esotropia is distinct from common forms of childhood esotropia, such as infantile esotropia and accommodative esotropia, in the rapid tempo and typically later timing of onset; further, AACE is distinct from restrictive or paretic strabismus, which usually results in an incomitant angle of deviation that varies with the direction of gaze. The underlying etiologies for AACE are broad but, in some cases, it may be associated with significant neurologic disease. Therefore, the purpose of this article is to examine and summarize the current literature on AACE to provide a framework for the evaluation and management of this form of acquired strabismus.
authors.affiliation: a Department of Ophthalmology , Boston Children's Hospital, Harvard Medical School, and Massachusetts Eye & Ear Infirmary , Boston , MA , USA.
authors.forename: Aubrey L
authors.initials: AL
authors.lastname: Gilbert
authors.affiliation: a Department of Ophthalmology , Boston Children's Hospital, Harvard Medical School, and Massachusetts Eye & Ear Infirmary , Boston , MA , USA.
authors.forename: Euna B
authors.initials: EB
authors.lastname: Koo
authors.affiliation: a Department of Ophthalmology , Boston Children's Hospital, Harvard Medical School, and Massachusetts Eye & Ear Infirmary , Boston , MA , USA.
authors.forename: Gena
authors.initials: G
authors.lastname: Heidary
mesh_terms: D000208:Acute Disease; D001139:Arnold-Chiari Malformation / Q000150:complications; D002675:Child, Preschool; D004948:Esotropia / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007223:Infant
keywords: Chiari malformation; pediatric strabismus