Esotropia following Traumatic Cataract

Abstract

After sustaining a traumatic cataract OS, a 5 year-old boy developed an intermittent esodeviation that persisted as a comitant, large-angle esotropia at both distance and near despite a successful cataract operation with intraocular lens placement OS. Clinical exam suggested that the esodeviation was not secondary to excessive accommodation. With only bifocal correction for near to the pseudophakic eye, the patient was to achieve gross ocular alignment with peripheral fusion at both distance and near. He continues to require his bifocal to maintain gross orthotropia. This case report highlights the importance of bilateral clear vision at near for the maintenance of ocular alignment in a child and provides a review of mechanisms for acquired esotropia.

• traumatic cataract
• amblyopia
• esotropia
• pseudophakia
• occlusion esotropia