Contact Lenses in Accommodative Esotropia

Abstract

Contact lenses are desired by most teenagers including those with accommodative esotropia. How well their accommodative deviation will be controlled with the switch to contact lenses has not been well documented in the literature. This paper presents the results of nineteen such patients. Some were well controlled with contacts while others needed the help of wearing bifocal glasses for extended near activities. Three patients needed surgery to successfully make the switch. A last group were unsuccessful contact candidates with markedly variable accommodative esotropia. The conclusion from this work is that in selected patients, if the desire is present, there is no reason not to try contact lenses.

• contact lenses
• accommodative esotropia
• biofocal glasses
• prism adaptation