Erkan Turan Kadriye, Kansu Tulay
Department of Ophthalmology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Department of Neurology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
J Ophthalmol. 2016;2016:2856128. doi: 10.1155/2016/2856128. Epub 2016 Nov 27.
. Acute acquired comitant esotropia (AACE) can be a diagnostic challenge for ophthalmologists and neurologists because of its association with neurological pathologies. Our study describes a series of adult patients with AACE of undetermined etiology. . Data on the clinical findings of patients presented with AACE of undetermined etiology with a minimum follow-up of 1 year were retrieved from the medical records and the results analyzed. . A series of 9 esotropia cases (age range: 20-43 years) was reviewed. All patients had full duction and versions, without an A-pattern or V-pattern. All patients had esotropia for distance and near. Neurological evaluation in all cases was normal. Among patients, 3 were treated with prisms, 4 were treated with strabismus surgery, and 1 was treated with botulinum toxin injections; 1 patient declined treatment. In treated patients posttreatment sensory testing indicated restoration of binocularity that remained stable throughout follow-up of 1-9 years. The patient that declined treatment had binocular function with base-out prisms. . Acute onset esotropia may be seen without a neurological pathology in adults. Good motor and sensory outcomes can be achieved in these patients with AACE of undetermined etiology via surgical and nonsurgical methods.
急性后天性共同性内斜视（AACE）由于与神经病理学相关，对眼科医生和神经科医生来说可能是一个诊断难题。我们的研究描述了一系列病因不明的成人AACE患者。从病历中检索出病因不明的AACE患者的临床检查数据，并对结果进行分析，这些患者的最短随访时间为1年。回顾了一系列9例内斜视病例（年龄范围：20 - 43岁）。所有患者均有完全的眼球运动和各诊断眼位运动，无A征或V征。所有患者远近均有内斜视。所有病例的神经学评估均正常。患者中，3例接受棱镜治疗，4例接受斜视手术治疗，1例接受肉毒杆菌毒素注射治疗；1例患者拒绝治疗。在接受治疗的患者中，治疗后感觉测试表明双眼视功能恢复，在1至9年的随访期间保持稳定。拒绝治疗的患者使用底向外棱镜时有双眼视功能。成人急性起病的内斜视可能无神经病理学异常。对于这些病因不明的AACE患者，通过手术和非手术方法可取得良好的运动和感觉预后。
