Mlinarevic Polic Ines, Katalinic Darko, Aleric Ivan, Pejic Renato, Skrlec Ivana, Talapko Jasminka, Zabic Igor, Vcev Aleksandar
Department of Pediatrics, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina.
Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia.
Wien Klin Wochenschr. 2025 Feb 11. doi: 10.1007/s00508-025-02502-0.
We present a rare case of a 9-year-old child with acute accommodative comitant esotropia, a form of acquired strabismus caused by excessive smartphone use. Symptoms commonly include double vision, closing or covering one eye when working at close range and tilting the head or its unnatural position to correct visual abnormalities; however, there are also patients without any symptoms. As part of the differential diagnosis it is necessary to exclude any eye diseases or refractive errors and it is highly recommended to carefully exclude pathologies of the central nervous system and intracranial disorders. In absolute numbers seen so far in real life, acute accommodative comitant esotropia is still a rare phenomenon and the relation to smartphone use might be suspected only after all other etiologies have been excluded. Acute accommodative comitant esotropia is mostly a temporary disorder and corrective glasses are usually sufficient for treatment. The present case demonstrates that forming a completely new type of visual disorder related to modern technologies is possible, even in age groups of children where this is a rare occurrence.
我们报告了一例罕见病例，一名9岁儿童患有急性调节性共同性内斜视，这是一种因过度使用智能手机导致的后天性斜视。症状通常包括复视、近距离工作时闭上或遮住一只眼睛，以及倾斜头部或使其处于不自然位置以纠正视觉异常；然而，也有患者没有任何症状。作为鉴别诊断的一部分，有必要排除任何眼部疾病或屈光不正，强烈建议仔细排除中枢神经系统疾病和颅内疾病。就目前在现实生活中所观察到的绝对数量而言，急性调节性共同性内斜视仍然是一种罕见现象，只有在排除所有其他病因后，才可能怀疑其与智能手机使用有关。急性调节性共同性内斜视大多是一种暂时性疾病，矫正眼镜通常足以治疗。本病例表明，即使在儿童年龄组中这种情况很少见，但仍有可能形成一种与现代技术相关的全新类型的视觉障碍。
