Esotropia is a form of strabismus where one or both eyes turn inward. It can appear in infancy, early childhood, or adulthood.
Symptoms and types
Impact varies with age of onset.
- Constant inward deviation in infantile esotropia
- Accommodative esotropia linked to long-sightedness and focusing effort
- Double vision in older children and adults with acquired esotropia
- Risk of amblyopia and loss of depth perception if untreated
Management
Treatment aims to align the eyes and support binocular vision.
- Glasses to correct hyperopia and relieve accommodative strain
- Patching or atropine penalisation for amblyopia
- Strabismus surgery when significant misalignment persists
- Long-term follow-up to monitor alignment and visual development
