FAQ - Esotropia
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What is the process for diagnosing Esotropia?

For the condition Esotropia in young children, say 11 years old, is there a test that would be done to determine if the person is a candidate for corrective surgery? Would the test be done in a doctor's office and the results be known right away, or would the doctor have to send out for some kind of lab work where the patient would have to wait for the results.

Thanks for your help!

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Are there treatments for SMall Angle Esotropia in adults?

My daughter had "lazy eye" as a small child. I took her to the "best" opthalmologist in the area and was told she didn't need surgery, that it would correct with glasses. She is now 19 and has been told she will go blind in that eye! The doctor was fascinated with her condition and called several other doctors in for a look. They diagnosed the following:
Small Angle Esotropia
Please I am desperate for answers I can understand.

Why will she go blind? Microstrabismus and small angle esotropia should not make a person go blind by themselves. Did she see another ophthalmologist or an optometrist? Find a pediatric ophthalmologist in your area and get a second opinion.  (+ info)

Does your child have Accommodative Esotropia with Amblyopia? If so did your child have surgery?

My son is scheduled for esotropia surgery next month. I am very nervous about it. He has been wearing a patch over his strong eye to strengthen his weak eye. But still his eye slightly drifts while wearing his glasses so he is recommended for surgery.

MOST accommodative esotropes dont need surgery.

BUT: if your child is STILL crossed even when wearing the MAX Rx...then your child is the exception.

patching doesnt stop the crossing. it never was designed to. it doesnt "strengthen" anything, either (musculature, etc). it just improves the acuity of the weaker eye.  (+ info)

what is the fastest and best way to treat "Esotropia Strabismus"?

More of a cosmetic fix. and yes i'm gonna be seeing a opthamologist in a few weeks.

It depends on how old you are and how severe your strabismus is. For younger people or less severe cases usually you will be asked to wear an eye patch and use some drops. For more severe cases surgery is an option.  (+ info)

Will esotropia surgery make my 6yr old eyes look normal?

Is it just for cosmetic reasons or will it also help them to work right? Will she still have vision problems? Also will patching therapy or glasses be needed? I am so worried about this. Plz all answers are greatly appreciated.

A very concerned mother

Surgeons aim for full alignment of the eyes in one operation or through a series of smaller surgical episodes. It should make your daughters eyes look more normal if not completely normal. Whether she will continue to have vision problems is probably a matter of 'wait and see'. I think it's generally believed that the best vision results are achieved if esotropia surgery is performed before the age of one.

Improvement might only be cosmetic as surgery does not necessarily enable the brain to utilize information from both eyes simultaneously (binocular vision), so eye teaming, eye tracking, stereoptic vision and/or 3D depth perception is often poor following surgical treatment. If surgery is undertaken, the best chance for visual success occurs when the surgeon works with a developmental optometrist who is comfortable in prescribing glasses and optometric vision therapy to encourage perfect alignment of the two eyes with proper fusion and eye teaming.

During surgery, the tension of the eye muscle in one or both eyes is adjusted. For example, in surgery for esotropia, the tight inner muscles may be removed from the wall of the eye and placed further back on the eye. This weakens their pull and allows the eye to move outward. Sometimes the outer muscles are tightened by shortening the muscle length to allow the eyes to move outward.

The chance of developing normal binocular vision with surgery alone diminishes with age. Older children with infantile esotropia may need both surgical intervention and pre- and post-surgical vision therapy.  (+ info)

Does LASIK to correct hyperopia also correct esotropia or strabismus?

No. LASIK may correct the vision deficit, but the strabismus/esotropia is an eye muscle problem (or sometimes nerve problem).  (+ info)

my son was diagnose by his ophthalmologist/optometrist to have an esotropia or esophoria with 6 diopters.?

will he be needing an eyeglasses to correct his eye problem? His ophthalmologist said he is fine. I don't really know what to do.Actually his main problem is his eyes. they turn inwards from time ti time with a span of 15 to 20 seconds. please help me.

Its actually a common condition in children. Sounds like he may be hyperopic and so is over-focusing. When young children have too much focusing power and this can mask any prescription. Over-focusing causes the eyes to turn in. He will need glasses to correct his prescription. The glasses will stop his eyes from overfocussing as they are now and this will stop them from turning inwards. If he does not wear his glasses there is a chance that the turn could become permanent, and this is why glasses would been prescribed. they will monitor him closely as he grows to make sure he has the best prescription.  (+ info)

Question with my esotropia strabismus?

I have had bifocal lenses since I was three due to my esotropia. I have now had my glasses for 11 years. What I have noticed is that I can correct my inward eye myself. It stays that way all of the time, except when I am extremely tired. My vision is a little blurred, but other then that its fine. What is my next step to have my eyes improve? contacts? surgery?

Your eyes are individual, so the only person who can answer that precisely will be the person who examines them.

If you are 14, you're moving out of the age where a lazy eye can develop, so it might be possible to think of getting rid of the bifocal element in a year or so, or it may still be a good idea while you're still studying hard.
Contacts for your distance Rx with extra glasses to relieve stress just for closework would also be a possibility.
Refractive surgery? Not till 18 as a minimum, and it's probably not a good idea for a few years beyond that.
Surgery for eye alignment? If you're getting some binocular vision now, and no double vision or amblyopia, then that's also probably best left until you've finished growing, (if you're going to need it at all). But that is much more an open question for your doctor.

The real thing to work on will be binocular vision and binocular stability. 3D viewers and magic eye books, if you can work them, are good for this.

The more you can get your eyes to be happy to do team work, the more the options will open up.

Optometrist, retired.  (+ info)

I think i have Distance Esotropia, is there any way to correct?


I have noticed it for roughly 2 years now. My optometrist says it is hard to correct esotropia, but did not really help me. Is there anything I can do? I just turned 20.

You should see an ophthalmologist for a dilated eye exam. If there's a pediatric ophthalmologist in your area, you should see them as they specialize in working with children and adults with strabismus (misaligned eyes, which includes esotropia). They will be able to measure the alignment of your eyes, how well you use your eyes together, check your vision, determine if glasses will help you, and discuss your options- whether it includes no treatment, glasses, prisms, surgery, etc. Good luck!

This link will help you find a pediatric ophthalmologist:

BTW- ophthalmologists are medical doctors. Pediatric ophthalmologists complete a one or two year fellowship after residency.  (+ info)

My 41/2 yr old has Esotropia & Browns syndrome will vision therapy help?

It's difficult to say what the "root cause" of the problem is, but in Acupuncture and Chinese Medicine, the eye is controlled by the liver. If the child was given vaccines as is typically done in America, it is possible that the liver has been damaged from this and the vaccinations sites could be reflexing to the eye. Typically infections can cause Brown's syndrome and this same problem could also be contributing to the Esotropia.

There could also be deficiency in nutrients that nourish the eye and since we know heavy metals cross the placenta at a very high rate, if the mother has lots of amalgam fillings and root canals, it is possible that there could be quite a bit of heavy metal toxicity that could generate this problem as well.

It is also possible that the child has a digestive problem and is not digesting his calcium properly due to the cofactors involved in the digestive process. If you can give the child about 1 teaspoon of "air dried sea salt" per day, this will help his adrenal glands and HCL production. Make sure he's also getting enough water. Dehyration can contribute to problems in the eye. Take his total body weight and divide by 2. That number is the total ounces he needs in water each day. If he drinks sodas, tea, commercial fruit juices, or anything with caffeine in it, this will dehydrate him greatly. Add to the water by multiplying 1.5 times the ounces of diuretic drinks he has each day. Stop all sodas in his diet and fried foods of any kind and eliminate ALL vegetable oils.

If he is deficient in minerals due to infections anywhere in his body, this will greatly contribute to this problem. Make sure he has NO dental infections of any kind.

All these things may seem trivial to some extent, but they are all very important to the health of the eyes and the muscles relating to the eyes. Any injury, scar, or trauma to the front of the body will also contribute heavily to this problem. Vaccinations are a major cause of this type of issue as well.

good luck to you  (+ info)

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