Journal of Ophthalmology & Clinical Research(JOCR)
ISSN: 2573-9573 | DOI: 10.33140/JOCR
Impact Factor: 1.3
Clare McCloskey
University Hospital Waterford, Dunmore Road, Co. Water-ford, X91 ER8E, Ireland
Publications
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Research Article
Acute Acquired Comitant Esotropia with Myopia: Longer-Term Follow-Up of Botulinum Toxin vs. Strabismus Surgery in a Western Population
Author(s): Clare McCloskey*, John Stokes, Aoife MacCann, Dervla McParland, Syed Fateh Ali Shah, Patrick O'Neill and Sean I Chen
‘Acute’ Acquired Comitant Esotropia with myopia (AACEM) is an unusual form of non-paretic, diplopia-inducing stra- bismus. It is a subset of (acute) acquired comitant esotropia with recent reports of increasing prevalence. No reports ex- ist comparing botulinum toxin (BTX) to surgery beyond the six-month therapeutic effect of BTX in a western population. Clinical characteristics of AACEM are defined and immediate and longer-term results of both interventions are reported in this retrospective review of 16 cases from two centres. Eight cases received BTX and eight cases had primary surgical intervention. Mean distance and near angle pre-sur- gery was 37.50±10.35 prism diopters (PD) and 35.63±12.66 PD respectively. Mean distance and near angle at final follow-up post-surgery (475.88±301.21 days, median 466.5) was 5.62±3.78 PD and 5.88&pl.. Read More»