Esotropia Precipitated by Occlusion

Abstract

Monocular occlusion or bandaging precipitated esotropia in seven children. Five had anisometropic amblyopia and two had uncorrected hypermetropia. Recovery did not occur when occlusion was discontinued even with refractive errors corrected. Three had surgery and a fourth requires it. A trial of glasses preceding monocular occlusion reduces risk of precipitating esotropia in treating amblyopia in non-strabismic children. Parents should watch for a developing deviation when prolonged occlusion or bandaging is prescribed. Hypermetropia should be corrected.