Acute Acquired Comitant Esotropia: Etiology, Clinical Course, and Management.

Bielschowsky was the most common etiology of acute acquired comitant esotropia in our study. We suggest that refraction should be performed in all patients with acute acquired comitant esotropia. Most etiologies were benign and might not require neuroimaging. However, neuroimaging is recommended in those with atypical presentations, such as nystagmus, headache, or cerebellar signs. Surgical intervention with a 0.5-1.0 mm increase in recession was effective for restoring ocular alignment and binocular function in our patients.