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Treatment of acute comitant esotropia in Chiari I malformation.
Ophthalmology. 1999 Dec; 106(12):2368-71.O

Abstract

PURPOSE

To explore the appropriate treatment of acute comitant esotropia in patients with Chiari I malformation.

DESIGN

Interventional case reports and literature review.

PARTICIPANTS

Two patients with Chiari I malformation presenting with acute comitant esotropia are described.

INTERVENTION

Strabismus surgery, then neurosurgical decompression of the Chiari I malformation was performed.

MAIN OUTCOME MEASURE

Both patients were evaluated for resolution of esotropia and other ocular motility problems.

RESULTS

After initially successful strabismus surgery, both patients developed recurrent esotropia with diplopia, which resolved on suboccipital decompression.

CONCLUSION

Comitant esotropia may recur and other eye movement disorders may develop after initially successful strabismus surgery in patients with Chiari I malformation. The data suggest that the appropriate sequence of treatment should first be suboccipital decompression, then strabismus surgery if spontaneous realignment does not occur, but further studies are needed to confirm this impression.

Authors+Show Affiliations

University of Florida, Department of Ophthalmology, Gainesville, USA.No affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

10599672

Citation

Weeks, C L., and L M. Hamed. "Treatment of Acute Comitant Esotropia in Chiari I Malformation." Ophthalmology, vol. 106, no. 12, 1999, pp. 2368-71.
Weeks CL, Hamed LM. Treatment of acute comitant esotropia in Chiari I malformation. Ophthalmology. 1999;106(12):2368-71.
Weeks, C. L., & Hamed, L. M. (1999). Treatment of acute comitant esotropia in Chiari I malformation. Ophthalmology, 106(12), 2368-71.
Weeks CL, Hamed LM. Treatment of Acute Comitant Esotropia in Chiari I Malformation. Ophthalmology. 1999;106(12):2368-71. PubMed PMID: 10599672.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Treatment of acute comitant esotropia in Chiari I malformation. AU - Weeks,C L, AU - Hamed,L M, PY - 1999/12/22/pubmed PY - 1999/12/22/medline PY - 1999/12/22/entrez SP - 2368 EP - 71 JF - Ophthalmology JO - Ophthalmology VL - 106 IS - 12 N2 - PURPOSE: To explore the appropriate treatment of acute comitant esotropia in patients with Chiari I malformation. DESIGN: Interventional case reports and literature review. PARTICIPANTS: Two patients with Chiari I malformation presenting with acute comitant esotropia are described. INTERVENTION: Strabismus surgery, then neurosurgical decompression of the Chiari I malformation was performed. MAIN OUTCOME MEASURE: Both patients were evaluated for resolution of esotropia and other ocular motility problems. RESULTS: After initially successful strabismus surgery, both patients developed recurrent esotropia with diplopia, which resolved on suboccipital decompression. CONCLUSION: Comitant esotropia may recur and other eye movement disorders may develop after initially successful strabismus surgery in patients with Chiari I malformation. The data suggest that the appropriate sequence of treatment should first be suboccipital decompression, then strabismus surgery if spontaneous realignment does not occur, but further studies are needed to confirm this impression. SN - 0161-6420 UR - https://www.unboundmedicine.com/medline/citation/10599672/Treatment_of_acute_comitant_esotropia_in_Chiari_I_malformation_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0161-6420(99)90541-9 DB - PRIME DP - Unbound Medicine ER -