{"id":15152,"date":"2021-07-11T13:16:17","date_gmt":"2021-07-11T13:16:17","guid":{"rendered":"https:\/\/www.optometrists.org\/?page_id=15152"},"modified":"2021-07-15T07:21:29","modified_gmt":"2021-07-15T07:21:29","slug":"what-is-accommodative-esotropia","status":"publish","type":"page","link":"https:\/\/www.optometrists.org\/childrens-vision\/a-guide-to-eye-turns\/what-is-accommodative-esotropia\/","title":{"rendered":"What Is Accommodative Esotropia?"},"content":{"rendered":"<p><b>The College of Optometrists in Vision Development (COVD), reports that up to 1 in 50 children have esotropia.<\/b><\/p>\n<p>A <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/a-guide-to-eye-turns\/\">sudden eye turn<\/a> at ages 2-3 can be very concerning, but might be due to a common and easily treated eye condition, accommodative esotropia.<\/p>\n<p>Esotropia can have a devastating impact on a child\u2019s appearance and self esteem as one eye turns in towards their nose, as well affecting their enjoyment of school and sports.<\/p>\n<h2><b>What is esotropia?<\/b><\/h2>\n<p><b>Esotropia is a <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/a-guide-to-eye-turns\/\">form of eye turn<\/a>, when one eye looks &#8216;cross-eyed&#8217; as it points more inwards (towards the nose) than the other.<\/b><\/p>\n<p>The eyes\u2019 ability to stay aligned depends on two things: accommodation (focusing) and convergence.<\/p>\n<p>The<b> focusing system<\/b> keeps the objects a person is looking at clear and focused. When a person sees an object clearly at a distance, the eye uses less focusing power.<\/p>\n<p>For the eyes to transition from far to near,\u00a0 the muscles in the eyes must change to create the change in the amount of focusing power required.<\/p>\n<p>The <b>convergence system<\/b> is in charge of aligning the two eyes in space at the same time. When staring at a distant object, the eyes are practically parallel and facing straight ahead.<\/p>\n<p>When a person shifts their gaze from a far away to a near object, their eyes must shift from parallel to slightly inward to avoid double vision. Each time a person looks from distance to near and back again, the eyes must change their convergence to see normally.<\/p>\n<p>These two systems are linked together in the brain, so that when the accommodation increases, so does the convergence, and vice-versa. In most cases, this results in easy, quick changes from distance to near for optimal vision.<\/p>\n<p>However, there can sometimes be a mismatch between the amount of accommodation and the amount of convergence, resulting in too much convergence when the eyes accommodate for near vision.<\/p>\n<p>This causes a condition known as accommodative esotropia, when one eye turns inwards more than the other.<\/p>\n<p><b>This results in fatigue, double vision, poor reading and other symptoms<\/b>.<\/p>\n<h2><b>What is accommodative esotropia?<\/b><\/h2>\n<p>One of the most common forms of esotropia (crossed eye), which is a type of<a href=\"https:\/\/www.optometrists.org\/childrens-vision\/a-guide-to-eye-turns\/\"> strabismus (eye turn<\/a>) is accommodative esotropia.<\/p>\n<p><b>Accommodative esotropia is often first noticed when the child reaches 2-3 years of age.<\/b><\/p>\n<p>Accommodative esotropia refers to eye crossing that occurs when the eyes work hard to focus so that they can see clearly. People with accommodative esotropia, also known as refractive esotropia, usually have farsightedness.<\/p>\n<h2><b>What are accommodative esotropia symptoms?<\/b><\/h2>\n<p>Common symptoms of accommodative esotropia include:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Amblyopia (lazy eye)<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Eye turn, crossing of the eyes<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Diplopia (double vision)<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Decreased binocular vision (the ability of the eyes to work together)<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Inward turning of the eyes<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Issues with depth perception<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Loss of 3-D vision<\/li>\n<\/ul>\n<p>People may notice that they cannot focus their eyes on the same place at the same time, and they may only be able to see objects fully with one eye.<\/p>\n<p>If you notice any of the above symptoms in you or your child<a href=\"https:\/\/www.optometrists.org\/practice-search\/\"> <b>contact an eye doctor near you<\/b>.<\/a><\/p>\n<p><strong>SEE RELATED: <\/strong><a href=\"https:\/\/www.optometrists.org\/childrens-vision\/a-guide-to-eye-turns\/accommodative-esotropia-real-pateints\/\">Accommodative Esotropia: Real Patients<\/a><\/p>\n\n\t<div class=\"practice-search-widget\">\n\t\t<h3>Find an eye doctor near you<\/h3>\n\t\t\n\t<form class=\"practice-search-form practice-search-form-widget\" action=\"https:\/\/www.optometrists.org\/practice-search\/results\/\" method=\"get\">\n\n\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\t\t<input type=\"hidden\" name=\"page\" class=\"practice-search-page\">\n\t\t<input type=\"hidden\" name=\"address_latitude\"><input type=\"hidden\" name=\"address_longitude\">\n\n\t\t<input type=\"text\" name=\"address\" class=\"practice-search-address\" placeholder=\"City, Surburb or Address\" value=\"\">\n\n\t\t\n\t\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\n\t\t\n\n\t\t<button type=\"submit\" class=\"practice-search-button\">\n\t\t\t\t\t\t\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M10.6796 0.130005C9.15708 0.130059 7.66615 0.5646 6.38198 1.38258C5.09781 2.20057 4.07373 3.36803 3.43004 4.74783C2.78634 6.12763 2.54976 7.66246 2.74808 9.17205C2.9464 10.6816 3.57139 12.1033 4.54964 13.27L0.729639 17.08C0.6364 17.1732 0.562439 17.2839 0.511979 17.4058C0.461519 17.5276 0.435547 17.6581 0.435547 17.79C0.435547 17.9219 0.461519 18.0524 0.511979 18.1743C0.562439 18.2961 0.6364 18.4068 0.729639 18.5C0.917942 18.6883 1.17334 18.7941 1.43964 18.7941C1.5715 18.7941 1.70207 18.7681 1.82389 18.7177C1.94571 18.6672 2.0564 18.5932 2.14964 18.5L5.99964 14.62C7.35406 15.6038 8.98566 16.1324 10.6596 16.13C12.7814 16.13 14.8162 15.2871 16.3165 13.7869C17.8168 12.2866 18.6596 10.2517 18.6596 8.13C18.6596 6.00827 17.8168 3.97344 16.3165 2.47315C14.8162 0.97286 12.7814 0.130005 10.6596 0.130005H10.6796ZM10.6796 14.13C9.49295 14.13 8.33291 13.7781 7.34622 13.1188C6.35952 12.4595 5.59049 11.5225 5.13636 10.4261C4.68224 9.32975 4.56342 8.12335 4.79493 6.95946C5.02644 5.79558 5.59788 4.72648 6.437 3.88736C7.27611 3.04825 8.34521 2.4768 9.5091 2.24529C10.673 2.01378 11.8794 2.1326 12.9757 2.58673C14.0721 3.04085 15.0092 3.80989 15.6685 4.79658C16.3277 5.78328 16.6796 6.94332 16.6796 8.13C16.6796 9.7213 16.0475 11.2474 14.9223 12.3726C13.7971 13.4979 12.2709 14.13 10.6796 14.13Z\" fill=\"#fff\"\/><\/svg>\n\t\t\t\t\t<\/button>\n\n\t\t<button type=\"button\" class=\"practice-search-use-my-location\">\n\t\t\tSearch near me\n\t\t<\/button>\n\n\n\t<\/form>\n\n\n\n\t\t<\/div>\n\n\t\n<h2><b>Causes and risk factors of accommodative esotropia<\/b><\/h2>\n<p>While there are no known risk factors for childhood accommodative esotropia, some factors increase the risk of having esotropia, including:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Family history of strabismus<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Certain medical disorders, such as overactive thyroid and diabetes<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Another eye disorder, such as glaucoma or cataracts<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Neurological conditions, such as excessive fluid in the brain<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Premature birth<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Stroke or brain injury<\/li>\n<\/ul>\n<h2><b>How is accommodative esotropia treated?<\/b><\/h2>\n<p>Depending on the severity of accommodative esotropia and the length of time it has been present, will\u00a0 determine the treatment plan.<\/p>\n<p><strong><a href=\"https:\/\/www.optometrists.org\/vision-therapy\/\">Vision therapy<\/a> and eyeglasses can <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/a-guide-to-eye-turns\/\">successfully treat all eye turns<\/a>, including esotropia.<\/strong><\/p>\n<p>When creating a treatment plan, other considerations include whether there is a misalignment in one or both eyes, and whether or not he esotropia is accommodative.<\/p>\n<p>The goal of treatment always focuses on:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Eye alignment<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Correcting double vision<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Treating lazy eye<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Reducing vision problems with both eyes<\/li>\n<\/ul>\n<p>Treatment options include:<\/p>\n<h3><b>Glasses or contact lenses<\/b><\/h3>\n<p>This is often the first option for treatment. Eye misalignment or farsightedness can be corrected using prescription glasses. If a person&#8217;s eyes continue to cross while wearing glasses, a bifocal lens may be required.<\/p>\n<h3><b>Vision therapy<\/b><\/h3>\n<p><a href=\"https:\/\/www.optometrists.org\/vision-therapy\/\">Vision therapy is a customized program<\/a> that retrains the eyes and brain to work together. It consists of eye exercises, to help strengthen eye function and the muscles around the eye to improve vision.<\/p>\n<p>Vision therapy may also involve a patient wearing a patch over the unaffected eye to improve the function of the crossed eye.<\/p>\n<h3><b>Botox injections<\/b><\/h3>\n<p>For people who have mild esotropia, botox injections may be used to realign the eyes.<\/p>\n<h3><b>Surgery<\/b><\/h3>\n<p>In some cases, surgery may be needed to modify the length of the muscles around the eyes;\u00a0 however, this does not necessarily eliminate the need for glasses or contact lenses.<\/p>\n<p>The prognosis for accommodative esotropia depends on its severity and type. While it may resolve on its own, it may require treatment, such as glasses or surgery.<\/p>\n<p><strong>LEARN MORE:\u00a0<\/strong><a href=\"https:\/\/www.optometrists.org\/childrens-vision\/a-guide-to-eye-turns\/\">Guide to Eye Turns<\/a><\/p>\n<p><a href=\"https:\/\/www.optometrists.org\/practice-search\/\"><b>If you notice your child has an eye turn, schedule an appointment<\/b> <\/a>with an eye doctor near you who can help manage and treat your accommodative esotropia, as well as any other underlying conditions.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The College of Optometrists in Vision Development (COVD), reports that up to 1 in 50 children have esotropia. A sudden eye turn at ages 2-3<\/p>\n","protected":false},"author":4,"featured_media":15153,"parent":991,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-article.php","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-15152","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What Is Accommodative Esotropia? - Optometrists.org<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.optometrists.org\/childrens-vision\/a-guide-to-eye-turns\/what-is-accommodative-esotropia\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What Is Accommodative Esotropia? - Optometrists.org\" \/>\n<meta property=\"og:description\" content=\"The College of Optometrists in Vision Development (COVD), reports that up to 1 in 50 children have esotropia. 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