Treatment of Esotropia with Progressive-Addition Lenses

Abstract

For the past three years, progressive-addition lenses have been successfully prescribed as a substitute for executive bifocals and cholinesterase inhibitors in the treatment of accommodative esotropia. The use of these “invisible bifocals” was originally designed to improve the appearance of the glasses, but the lenses have also provided more secure control of the deviation in the intermediate distance. In addition, maximum accommodative treatment can be given a patient without fusion to obtain a cosmetically acceptable angle of deviation distance and near without the stigma of bifocals.

• accommodative esotropia
• progressive-addition lenses
• executive bifocals