Accommodative esotropia after ocular and head injury.

Abstract

Five children lost their ability for motor fusion after traumatic injury to either the eye or head. All patients had the onset of accommodative esotropia within two months of the traumatic episode. The ocular alignment of each child was controlled by the use of spectacles that corrected the accommodative requirements. These patients are unique because they did not show any evidence of accommodative esotropia before their injuries. One child developed accommodative esotropia with a high ratio of accommodative convergence to accommodation. The use of bifocal spectacles controlled the deviation for this child.