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Atypical Onset of Refractive Accommodative Esotropia: A Case Report

Received: 6 December 2014     Accepted: 18 December 2014     Published: 23 December 2014
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Abstract

A 27 year old female presented with symptoms of diplopia, headache, ptosis, ataxia, and macropsia. She was subjected to extensive and repetitive medical evaluations on 3 separate occasions over a 2 year period resulting in a delay in diagnosis, expense of the evaluations and unnecessary treatment. Ophthalmologic consultation uncovered a delayed onset of refractive accommodative esotropia. Signs and symptoms of refractive accommodative esotropia can simulate other neurologic diseases in adults.

Published in Clinical Medicine Research (Volume 3, Issue 6)
DOI 10.11648/j.cmr.20140306.18
Page(s) 203-205
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Accommodation, Diplopia, Adult Strabismus, Hypermetropia

References
[1] Birch EE, Fawcett SL, Morale SE, Weakley DR, Wheaton DH. “Risk Factors for Accommodative Esotropia among Hypermetropic Children”. IOVS.2005;46(2), pp. 526-529.
[2] Von Noorden GK. “Accomodative Esotropia”. In: Craven L, Buckwalter W, Walter CP, editors. Binocular vision and ocular motility: Theory and management of strabismus, 5th ed. St Louis: Mosby, 1996, pp. 303-306.
[3] Swan KC. Esotropia following occlusion. Arch Ophthalmol. 1947;37:444-451.
[4] Von Noorden GK. “Acute acquired esotropia” In:Craven L, Buckwalter W,Walter CP, editors. Binocular vision and ocular motility Theory and management of strabismus,5th ed.St Louis: Mosby, 1996, pp. 324-325.
[5] Williams AS, Hoyt CS. “Acute comitant esotropia in children with brain tumors” Arch Ophthalmol. 1989; 107, pp. 376-378.
[6] Khan AO. Case Report: “Refractive accomodative esotropia following monocular patching” American Orthoptic Journal. 2004;54, pp.133-134.
[7] Burde RM, Savino PJ, Trobe JD. “Diplopia” In:Clinical decision in Neuro-opthalmology, 1st ed. St Louis: Mosby, 2002, pp. 158-197.
[8] Passo M, Shults WT, Talbot T, Palmer EA. “Acquired esotropia: a manifestation of Chiari malformation” J Clin NeuroophthalmoI . 1984; 4, pp. 151-154.
[9] Burian HM, Miller JE. Comitant convergent strabismus with acute onset. Am J Ophthalmol. 1958;45:55-64
[10] Simon JW, Waldman JB, Couture KC. Cerebellar astrocytoma manifesting as isolated, comitant esotropia in childhood. Am J Ophthalmol 1996;121:584-586.
[11] Bixenman WW, Laguna JF. Acquired esotropia as initial manifestation of Amold-Chiari malformation. J Pediatr Ophthalmol Strabismus 1987;24:83-86
[12] Mittal MK, Barohn RJ, Pasnoor M, McVey A, Herbelin L, Whittaker T, Dimachkie M. “Ocular myasthenia gravis in an academic neuro-opthalmology clinic: clinic features and therapeutic response” J Clin Neuromuscul Dis .2011;13(1), pp.46-52.
[13] Ghanizadeh, A. “Citalopram-induced macropsia” Clin Neuropharamcol. 2007; 30(4),pp. 246-247.
[14] Zwijnenburg PJ, Wennink JM,Laman DM, Linssen WH. “Alice in Wonderland syndrome: a clinical presentation of frontal lobe epilepsy” Neuropediatrics. 2002; 33, pp.53-5.
[15] Rutstein RP. “Retinally induced aniseikonia: a case serious” Optom Vis Sci.2012;89(11):50-55.
[16] Westheimer G. “First description of aniseikonia” Br J Ophthalmol.2007;91: p.6.
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  • APA Style

    Feray Koc, Figen Tokucoglu. (2014). Atypical Onset of Refractive Accommodative Esotropia: A Case Report. Clinical Medicine Research, 3(6), 203-205. https://doi.org/10.11648/j.cmr.20140306.18

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    ACS Style

    Feray Koc; Figen Tokucoglu. Atypical Onset of Refractive Accommodative Esotropia: A Case Report. Clin. Med. Res. 2014, 3(6), 203-205. doi: 10.11648/j.cmr.20140306.18

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    AMA Style

    Feray Koc, Figen Tokucoglu. Atypical Onset of Refractive Accommodative Esotropia: A Case Report. Clin Med Res. 2014;3(6):203-205. doi: 10.11648/j.cmr.20140306.18

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  • @article{10.11648/j.cmr.20140306.18,
      author = {Feray Koc and Figen Tokucoglu},
      title = {Atypical Onset of Refractive Accommodative Esotropia: A Case Report},
      journal = {Clinical Medicine Research},
      volume = {3},
      number = {6},
      pages = {203-205},
      doi = {10.11648/j.cmr.20140306.18},
      url = {https://doi.org/10.11648/j.cmr.20140306.18},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20140306.18},
      abstract = {A 27 year old female presented with symptoms of diplopia, headache, ptosis, ataxia, and macropsia. She was subjected to extensive and repetitive medical evaluations on 3 separate occasions over a 2 year period resulting in a delay in diagnosis, expense of the evaluations and unnecessary treatment. Ophthalmologic consultation uncovered a delayed onset of refractive accommodative esotropia. Signs and symptoms of refractive accommodative esotropia can simulate other neurologic diseases in adults.},
     year = {2014}
    }
    

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    AB  - A 27 year old female presented with symptoms of diplopia, headache, ptosis, ataxia, and macropsia. She was subjected to extensive and repetitive medical evaluations on 3 separate occasions over a 2 year period resulting in a delay in diagnosis, expense of the evaluations and unnecessary treatment. Ophthalmologic consultation uncovered a delayed onset of refractive accommodative esotropia. Signs and symptoms of refractive accommodative esotropia can simulate other neurologic diseases in adults.
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Author Information
  • Neuro-ophthalmology department of Izmir Ataturk Education and Research Hospital, Izmir, Turkey

  • Neurology department of Izmir Tepecik Education and Research Hospital, Izmir, Turkey

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