OPTOMETRIC MANAGEMENT OF NON- ACCOMMODATIVE ESOTROPIA
Abstract: Optometric Management of non- Accommodative Esotropia Strabismus is a challenging condition to manage in general, but some cases present more difficulties than accommodative esotropia occur as a result of uncorrected or under corrected hyperopic refractive error or due to a hyper responsive accommodative vergence system. When detected early, the primary first line of treatment is a spectacle prescription with maximal hyperopic prescription. Early spectacle correction reduces the visual system’s posture in the highly accommodative state and subsequently reduces the angle of esotropia. The assessment and management of a patient diagnosed with non- accommodative esotropia in childhood and adulthood and describes the differences in the management within pediatric and adult patients. During the assessment raise some questions .what is the original etiology of the esotropia? Is the accommodative esotropia and nonaccommodative esotropia on a continuum in which the patient adapts? Would you consider vision therapy or compensatory prism? Age a factor in doing so? How do you change the vergence angle? You can try the vestibular input and jump ductions within vt sessions. Jump vergence and vestibular input may help decrease the motor angle. How would you consider crossed and uncrossed disparity? Can you relate this to BOP/BIM or the horopter? How important is anti-suppression versus peripheral awareness? The key point is the you should aware the patients to pay attention to the surrounding it may help to break suppression. After successful treatment you should do follow up the patients to assess the visual abilities and monitor the motor angle as well as suppression.
Enayatollah Osroosh 09177201460 firstname.lastname@example.org