Tags

Type your tag names separated by a space and hit enter

Isolated comitant esotropia and Chiari I malformation.
Am J Ophthalmol. 2000 Aug; 130(2):216-20.AJ

Abstract

PURPOSE

To report four patients with isolated comitant esotropia and Chiari I malformation and discuss the most appropriate management.

METHODS

Case reports and literature review.

RESULTS

All four patients (5, 14, 16, and 37 years of age) presented with an isolated comitant esotropia that led to the diagnosis of Chiari I malformation. The first two patients underwent uncomplicated neurosurgical decompression of their malformation, followed by complete resolution of their esotropia. The third patient underwent strabismus surgery and experienced initial resolution of the esotropia, but eventual recurrence resulted in the strabismus surgery being repeated 5 years later. The fourth patient had strabismus surgery with resolution of the esotropia but only 2 months of follow-up.

CONCLUSION

Although management of patients with Chiari I malformation and severe neurologic findings typically includes surgical decompression, management is less straightforward in cases with subtle findings or in which ocular findings are isolated. The decision to perform neurosurgical decompression or strabismus surgery should still be made on a case-by-case basis, with the understanding that strabismus surgery may provide only temporary ocular alignment.

Authors+Show Affiliations

Department of Ophthalmology, Emory University School of Medicine, Atlanta, Georgia, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

11004297

Citation

Biousse, V, et al. "Isolated Comitant Esotropia and Chiari I Malformation." American Journal of Ophthalmology, vol. 130, no. 2, 2000, pp. 216-20.
Biousse V, Newman NJ, Petermann SH, et al. Isolated comitant esotropia and Chiari I malformation. Am J Ophthalmol. 2000;130(2):216-20.
Biousse, V., Newman, N. J., Petermann, S. H., & Lambert, S. R. (2000). Isolated comitant esotropia and Chiari I malformation. American Journal of Ophthalmology, 130(2), 216-20.
Biousse V, et al. Isolated Comitant Esotropia and Chiari I Malformation. Am J Ophthalmol. 2000;130(2):216-20. PubMed PMID: 11004297.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Isolated comitant esotropia and Chiari I malformation. AU - Biousse,V, AU - Newman,N J, AU - Petermann,S H, AU - Lambert,S R, PY - 2000/9/27/pubmed PY - 2001/2/28/medline PY - 2000/9/27/entrez SP - 216 EP - 20 JF - American journal of ophthalmology JO - Am. J. Ophthalmol. VL - 130 IS - 2 N2 - PURPOSE: To report four patients with isolated comitant esotropia and Chiari I malformation and discuss the most appropriate management. METHODS: Case reports and literature review. RESULTS: All four patients (5, 14, 16, and 37 years of age) presented with an isolated comitant esotropia that led to the diagnosis of Chiari I malformation. The first two patients underwent uncomplicated neurosurgical decompression of their malformation, followed by complete resolution of their esotropia. The third patient underwent strabismus surgery and experienced initial resolution of the esotropia, but eventual recurrence resulted in the strabismus surgery being repeated 5 years later. The fourth patient had strabismus surgery with resolution of the esotropia but only 2 months of follow-up. CONCLUSION: Although management of patients with Chiari I malformation and severe neurologic findings typically includes surgical decompression, management is less straightforward in cases with subtle findings or in which ocular findings are isolated. The decision to perform neurosurgical decompression or strabismus surgery should still be made on a case-by-case basis, with the understanding that strabismus surgery may provide only temporary ocular alignment. SN - 0002-9394 UR - https://www.unboundmedicine.com/medline/citation/11004297/Isolated_comitant_esotropia_and_Chiari_I_malformation_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002939400004578 DB - PRIME DP - Unbound Medicine ER -