accommodative esotropia
Pronunciation: ah-KOM-oh-day-tiv es-oh-TROH-pee-ah
Inward eye deviation triggered by the accommodative effort required for near focusing.
Full Definition
Accommodative esotropia is a form of strabismus where one or both eyes turn inward (esotropia) in response to accommodative effort, typically when focusing on near objects. This condition most commonly affects children between ages 2-5 years and is often associated with moderate to high hyperopia (farsightedness). The mechanism involves excessive accommodation required to achieve clear vision, which triggers convergence through the accommodation-convergence reflex. Treatment typically involves optical correction with glasses or contact lenses to reduce accommodative demand, and may include bifocals, prisms, or surgical intervention in refractory cases. Early detection and treatment are important to prevent amblyopia and preserve binocular vision.
Usage
Usage note: Specify whether fully accommodative or partially accommodative in clinical documentation.
In Context
- "The child's accommodative esotropia was well-controlled with hyperopic correction." — Pediatric ophthalmology report
- "Bifocal glasses were prescribed to manage the near accommodative component of the esotropia." — Treatment plan documentation