Comparison of motor and sensory outcomes for nonaccommodative esotropia and partial accommodative esotropia
Reviewed by Fiona Rowe

Motor and sensory outcomes of surgery are compared for partial accommodative refractive esotropia (pARET) and acute nonaccommodative comitant esotropia (ANAET) to evaluate factors affecting their surgical success. This was a retrospective study of 38 ANAET (26 males, 12 females) and 33 pARET (13 males, 20 females) cases. Esotropia was noticed at a mean age of 8.55 ±4.65 years (ANAET) and 4.39 ±2.27 years (pARET) and mean age at surgery was 10.62 ±4.99 years and 7.89 ±2.84 years respectively. At surgery, 84% and 97% were <12 years old respectively. Mean duration of esotropia prior to surgery was 39.42 ±35.54 months (ANAET) and 29.95 ±42.45 months (pARET). Precipitating events (e.g. fever, trauma, hypertension) was noted in 30.77% (ANAET) and 0.09% (pARET). Preop amblyopia therapy was given in 23.68% and 51.52%, and vertical deviation in 34.21% and 45.45% respectively. In ANAET postoperatively, combined motor success at near and distance was 78.9% at six months and 81.5% at final follow-up. In pARET postoperatively, combined motor success at near and distance was 70.3% at six months and 73.3% at final follow-up. Greater numbers of ANAET remained ortho during follow-up whilst pARET cases showed a tendency to exo drift. The authors conclude both types of esotropia have good motor success for near and distance deviations and also for sensory outcomes with no significant differences between esotropia types. No demographic or preoperative factors were found to influence surgical outcomes.

Acquired comitant esotropias – comparison of surgical outcomes of accommodative vs non-accommodative types.
Sharma R, Tibrewal S, Majumdar A, et al.
STRABISMUS
2023;31(4):293–305.