MANAGEMENT AND TREATMENT OPTIONS IN INFANTILE ESOTROPIA: A CASE STUDY

Atrium

Introduction. Management options for infantile esotropia abound and research has yet to identify the most optimal approach for treatment. Diagnosing these patients is not hard yet understanding how best to manage them with such inconclusive research can be daunting for any clinician. Case presentation. This case demonstrates the natural history of infantile esotropia in one patient and discusses the current treatment options. Deviation From the Expected. Research of common treatment options of infantile esotropia has revealed no clear optimal treatments of the condition. Variability in the response to treatment is typical. Discussion. This patient displayed first an intermittent, alternating esotropia with onset at around 6 months of age, which then progressed under observation to a constant strabismus of a much larger magnitude. Patching was started to attempt to equalize fixation and address any amblyopia. Spectacles were not prescribed due to the low amount of hyperopia and little impact that they had on the strabismus when trial framed. No stereopsis was able to be elicited from the patient. This patient is a candidate for muscle surgery as a result. Conclusion. Infantile esotropia has not proven to respond equally to every treatment, evidenced in the difficulty of identifying one or a few consistent, optimal treatments. This case demonstrates the management of one case of infantile esotropia which may provide some insight into the continued discussion on the treatment of this type of strabismus. Grants. This study was not funded by any grants.