Pollard Zane F, Greenberg Marc F
Study conducted at the Scottish Rite Children's Medical Center, Children's Health Care of Atlanta, Atlanta, Georgia, USA.
J AAPOS. 2002 Feb;6(1):33-9.
This paper will discuss several unusual presentations of accommodative esotropia.
A total of 20 patients with unusual case histories who presented with accommodative esotropia were studied retrospectively. These patients were separated into 3 categories. The first contained children who had their onset of accommodative esotropia after a traumatic event such as head trauma or ocular trauma. The second involved infants between 3 and 5 months of age who presented with accommodative esotropia. The third showed the onset of accommodative esotropia associated with diabetic ketoacidosis. (There were no other metabolic disorders associated with accommodative esotropia.)
All patients resolved their esotropia with glasses initially but 2 did require surgery several years after the onset of the esotropia.
Children under 5 months of age with intermittent esotropia and/or significant amounts of hyperopia should have the diagnosis of accommodative esotropia considered as the etiology of their esotropia. Children with the onset of esotropia associated with trauma who have significant amounts of hyperopia should also have accommodative esotropia considered as an etiology of their crossing.
本文将探讨调节性内斜视的几种不寻常表现。
对20例有不寻常病史且表现为调节性内斜视的患者进行回顾性研究。这些患者被分为3类。第一类包括在头部外伤或眼外伤等创伤事件后出现调节性内斜视的儿童。第二类涉及3至5个月大出现调节性内斜视的婴儿。第三类显示调节性内斜视的发作与糖尿病酮症酸中毒有关。（没有其他与调节性内斜视相关的代谢紊乱。）
所有患者最初通过戴眼镜矫正了内斜视，但有2例在斜视发作几年后确实需要手术。
5个月以下患有间歇性内斜视和/或大量远视的儿童，应考虑将调节性内斜视作为其斜视的病因。斜视发作与创伤相关且有大量远视的儿童，也应考虑将调节性内斜视作为其双眼交叉的病因。
