Are your children’s vaccines up to date?

Set a reminder

Please or to access all these features

Children's health

Mumsnet doesn't verify the qualifications of users. If you have medical concerns, please consult a healthcare professional.

Accomadative esotropia in toddler

2 replies

Shilpaanil007 · 03/07/2018 15:22

My 2 year old DD has been disgnosed with accomadative esotropia just a couple of days ago. I am, as usual, panicking.
She started crossing her eyes a couple of months ago, only when looking at her spoon (not her food) while eating. My mum and mum-in-law advised that kids do all these quirky things so I ignored it. Nobody in my or DH's family have it. One weekend it was more pronounced than before and long story short, I got a referral to a paediatric ophthalmologist from the GP almost 2 months later.
When the appointment finally came after 2 months DD had stopped crossing her eyes so, I was not expecting the doctor to diagnose her with accomadative esotropia.
Doctor diagnosed her with accomadative esotropia but the other results from the doctor were very positive. DD's eyes are stong, muscles and nerves and vision:all are fine. She has a farsighted prescription of +1 and +1.25 (which I gather, is not too much for a toddler her age). She has been given glasses to wear and her next appointment is 3 months down the line to re-assess her crossing
My question to fellow mums is:

  1. Given her prescription is low, why is she crossing her eyes at very near objects?
  2. Am I making a mountain out of a mole? Am I interferring with her normal growth?
  3. Will she ever be able to get rid of the squint (not the glasses)? I don't mind her having glasses for the rest of her life but squint sounds very life-altering to me.
  4. Any success stories?
OP posts:
Are your children’s vaccines up to date?
underneaththeash · 04/07/2018 22:57
  1. She may have a very high AC/C ratio. So she converges a lot (brings her eyes in) when accommodating (changing focus to view near objects). She may also have convergence insufficiency. She may also only have partially accommodative esotropia, so only some of the squint is improved by wearing the glasses.

Having said that, that prescription is very low for someone who who has accommodative esotropia. I presume that they put drops in the eyes to assess the vision (these are called cycloplegia drops).

Are her glasses bifocals (they usually have a line going across them)?

  1. Do you mean by doing something about the squint? No, if not treated the squinting eye doesn't develop properly and becomes lazy (so not able to read the same numbers of letters on the eye chart).
  1. I don't know, it depends on lots of things..that's what the appointment is there for in a few months time.
  1. Its pretty common, about 2% of children have accommodative esotropia. This study here suggests that 20-34% of children discontinue wearing spectacles 10 /15 years after diagnosis.
Shilpaanil007 · 05/07/2018 11:18

Thanks underneaththeash.
They did put some drops in her eyes to asses it. We were told her eyes are in good condition. Dcotor said that If DD did not cross eyes intermittently, then she wouldn't have prescribed glasses. She was NOT prescribed bi-focals.
I am not sure about AC/C ratio because I was not aware of this during the 1st appointment. I'll make sure I bring it up in the next one.

DD almost never crosses her eyes (these days), for me to notice it. Hence the panic. I believe the doctor saw it intermittently.

OP posts:
New posts on this thread. Refresh page