Case of Partial Accommodative Esotropia With Well-Developed Binocular Function After Frequent Interventions

Esotropia in children significantly impacts visual development, particularly if occurring in infancy, where it poses a high risk of amblyopia and disrupts binocular function acquisition.We report the progressive management of a boy who developed esotropia at the age of two years and one month.Initial assessment revealed hyperopia, managed with spectacles and occlusion therapy for amblyopia.Over time, the esotropia evolved into partially accommodative esotropia, necessitating frequent prescription adjustments of glasses with Fresnel prisms and surgical intervention.It resulted in the maintenance of good visual function and stereopsis.This case underscores the importance of early detection and continuous, tailored interventions in managing accommodative esotropia to prevent amblyopia and promote binocular vision.Through regular follow-up and adaptive treatment strategies, the patient achieved and maintained favorable visual outcomes until at least the age of 12 years, demonstrating the effectiveness of a comprehensive, long-term approach to managing complex esotropia.