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What is Accommodative Esotropia?

Mary McMahon
Mary McMahon
Mary McMahon
Mary McMahon

Accommodative esotropia is an ophthalmological problem which is most commonly seen in children who are farsighted, but have not yet been diagnosed with vision problems. In children with accommodative esotropia, the eyes exhibit esotropia, in which one or both eyes turns inward toward the nose, as they attempt to focus on distant objects. Also known as “crossed eyes,” esotropia caused by vision problems is very correctable with a visit to an ophthalmologist, and the correction will make a huge difference in the quality of life for the patient.

People with hyperopia or farsightedness have small variations in their eyes which make it difficult to focus because the focal point of the person's vision is actually moved behind the retina. The eyes will do their best to compensate for the problem, and when someone is focusing intently on something or is very tired, one or both eyes may start to stray towards the nose during the attempt to focus. The umbrella term “strabismus” is used to describe situations in which the eyes do not align, and in the case of esotropia, strabismus manifests in the form of being cross eyed to some degree.

Eyeglasses can often help people with accommodative esotropia to focus their eyes and reduce eye strain.
Eyeglasses can often help people with accommodative esotropia to focus their eyes and reduce eye strain.

Often, accommodative esotropia can be treated with glasses or contacts to correct vision. Vision correction will limit the difficulty focusing, and reduce strain on the eyes. In some cases, bifocals may be prescribed to address vision problems with both near and distant objects. The improvement is generally almost immediate with glasses.

In other cases, it may be necessary to conduct strabismus surgery to address the problem. Surgery is generally only recommended after it is clear that wearing corrective devices will not work. Before pursuing surgery for children with accommodative esotropia, parents should ask about the risks of the surgery, the healing time, and any special aftercare instructions which will need to be followed.

Accommodative esotropia which is most commonly seen in children who are farsighted, but.
Accommodative esotropia which is most commonly seen in children who are farsighted, but.

Eye problems in young children often go unrecognized unless the child presents with obvious symptoms like accommodative esotropia. The child may not realize that his or her vision is abnormal, especially before starting school. Once in school, eye problems are sometimes mistaken for learning disabilities or other problems, unless a child specifically identifies a vision issue such as being unable to see the blackboard. It is a good idea to take a child to an ophthalmologist periodically for examinations to confirm that the eyes are healthy and to identify the early signs of vision problems so that treatment can be provided in a timely fashion.

Mary McMahon
Mary McMahon

Ever since she began contributing to the site several years ago, Mary has embraced the exciting challenge of being a WiseGEEK researcher and writer. Mary has a liberal arts degree from Goddard College and spends her free time reading, cooking, and exploring the great outdoors.

Learn more...
Mary McMahon
Mary McMahon

Ever since she began contributing to the site several years ago, Mary has embraced the exciting challenge of being a WiseGEEK researcher and writer. Mary has a liberal arts degree from Goddard College and spends her free time reading, cooking, and exploring the great outdoors.

Learn more...

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    • Eyeglasses can often help people with accommodative esotropia to focus their eyes and reduce eye strain.
      By: prosotphoto
      Eyeglasses can often help people with accommodative esotropia to focus their eyes and reduce eye strain.
    • Accommodative esotropia which is most commonly seen in children who are farsighted, but.
      By: imagedb.com
      Accommodative esotropia which is most commonly seen in children who are farsighted, but.