Kemmanu Vasudha, Hegde Kaushik, Seetharam Raghavendra, Shetty Bhujanga K
Department of Pediatric Ophthalmology and Strabismus, Narayana Nethralaya, Bangalore, Karnataka, India.
Oman J Ophthalmol. 2012 May;5(2):103-5. doi: 10.4103/0974-620X.99373.
This is an observational case series of five cases of acute acquired comitant esotropia (AACE) with diplopia, aged between 5 and 12 years. The duration of presenting complaints ranged from 4 days to 2 months. A detailed ophthalmic evaluation and neuroimaging were done on all patients. Three patients were found to have intracranial pathology. Two patients had pontine glioma and one patient had benign intracranial hypertension. One patient was diagnosed as accommodative spasm and one patient was diagnosed as having Type 2 AACE.We would like to conclude that AACE can be of a varied aetiology ranging from convergence spasm to those harboring serious intracranial diseases. We reiterate that AACE has a small but significant association with intracranial disorders. Neuroimaging is a definite need in cases which cannot be proved to be either Type 1 or 2.
这是一个观察性病例系列，包含5例年龄在5至12岁之间、伴有复视的急性后天性共同性内斜视（AACE）患者。就诊主诉的持续时间为4天至2个月。对所有患者均进行了详细的眼科评估和神经影像学检查。3例患者被发现有颅内病变。2例患者患有桥脑胶质瘤，1例患者患有良性颅内高压。1例患者被诊断为调节痉挛，1例患者被诊断为2型AACE。我们得出结论，AACE的病因多种多样，从集合痉挛到患有严重颅内疾病不等。我们重申，AACE与颅内疾病有小但显著的关联。对于无法明确诊断为1型或2型的病例，神经影像学检查是绝对必要的。
