Acute acquired concomitant esotropia with congenital paralytic strabismus:A case report  

作　　者：Meng-Di Zhang Xiang-Yu Liu Ke Sun Shou-Nan Qi Chun-Ling Xu 

机构地区：[1]Department of Ophthalmology,The Second Hospital of Jilin University,Changchun 130022,Jilin Province,China [2]Department of Anesthesiology,Jilin Province People’s Hospital,Changchun 130021,Jilin Province,China

出　　处：《World Journal of Clinical Cases》2023年第27期6476-6482,共7页世界临床病例杂志

基　　金：Supported by Science and Technology Project of Education Department of Jilin Province during the“13th Five-Year Plan”,No.JJKH20180217KJ;Natural Science Foundation of Jilin Province,No.20200201530JC.

摘　　要：BACKGROUND An unusual case of acute acquired concomitant esotropia(AACE)with congenital paralytic strabismus in the right eye is reported.CASE SUMMARY A 23-year-old woman presented with complaints of binocular diplopia and esotropia of the right eye lasting 4 years and head tilt to the left since 1 year after birth.The Bielschowsky head tilt test showed right hypertropia on a right head tilt.She did not report any other intracranial pathology.A diagnosis of AACE and right congenital paralytic strabismus was made.Then,she underwent medial rectus muscle recession and lateral rectus muscle resection combined with inferior oblique muscle myectomy in the right eye.One day after surgery,the patient reported that she had no diplopia at either distance or near fixation and was found to be orthophoric in the primary position;furthermore,her head posture immediately and markedly improved.CONCLUSION In future clinical work,in cases of AACE combined with other types of strabismus,we can perform conventional single surgery for both at the same time,and the two types of strabismus can be solved simultaneously.

关 键 词：Acute acquired concomitant esotropia Congenital paralytic strabismus Superior oblique paralysis Simultaneous surgery Case report 

分 类 号：R736.1[医药卫生—肿瘤]