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Case of the week 116  ( May 2013 )
 "V" Pattern Congenital Esotropia


This 6 years old girl was noted to have crossed eyes since shortly after birth. Her health is good and there is no family history of strabismus. The eye examination was normal.
Vision: OD 20/200, OS 20/20
Refraction: OD +.50 
                  OS +.25

   
   

 This is a typical case of antimongoloid fissure esotropic child, usually presents with :

1. Infantile esotropia

2. V pattern strabismus

3. Inferior Oblique overaction manifests as vertical incmoitance in up & in gazes

These features must be put in mind when surgically correcting the esotropia . All these could be corrected simply by adding downshifting the recessed 2 MR and /or by doing  bilateral IO myectomy



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