Zhang MD, Liu XY, Sun K, Qi SN, Xu CL. Acute acquired concomitant esotropia with congenital paralytic strabismus: A case report. World J Clin Cases 2023; 11(27): 6476-6482 [PMID: 37900252 DOI: 10.12998/wjcc.v11.i27.6476]
Corresponding Author of This Article
Chun-Ling Xu, MD, Chief Physician, Professor, Department of Ophthalmology, The Second Hospital of Jilin University, No. 4026 Yatai Street, Changchun 130022, Jilin Province, China. xucl@jlu.edu.cn
Research Domain of This Article
Ophthalmology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Sep 26, 2023; 11(27): 6476-6482 Published online Sep 26, 2023. doi: 10.12998/wjcc.v11.i27.6476
Acute acquired concomitant esotropia with congenital paralytic strabismus: A case report
Meng-Di Zhang, Xiang-Yu Liu, Ke Sun, Shou-Nan Qi, Chun-Ling Xu
Meng-Di Zhang, Xiang-Yu Liu, Shou-Nan Qi, Chun-Ling Xu, Department of Ophthalmology, The Second Hospital of Jilin University, Changchun 130022, Jilin Province, China
Ke Sun, Department of Anesthesiology, Jilin Province People’s Hospital, Changchun 130021, Jilin Province, China
Author contributions: Zhang MD acquired the data and drafted the article; Liu XY and Qi SN acquired and analyzed the data; Sun K critically revised the manuscript; Xu CL performed the surgery and substantively revised the manuscript; all authors have read and approved the final manuscript.
Supported byScience and Technology Project of Education Department of Jilin Province during the “13th Five-Year Plan”, No. JJKH20180217KJ; and Natural Science Foundation of Jilin Province, No. 20200201530JC.
Informed consent statement: Informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors declare that they have no conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chun-Ling Xu, MD, Chief Physician, Professor, Department of Ophthalmology, The Second Hospital of Jilin University, No. 4026 Yatai Street, Changchun 130022, Jilin Province, China. xucl@jlu.edu.cn
Received: March 31, 2023 Peer-review started: March 31, 2023 First decision: July 3, 2023 Revised: July 16, 2023 Accepted: August 2, 2023 Article in press: August 2, 2023 Published online: September 26, 2023 Processing time: 173 Days and 10 Hours
Abstract
BACKGROUND
An unusual case of acute acquired concomitant esotropia (AACE) with congenital paralytic strabismus in the right eye is reported.
CASE SUMMARY
A 23-year-old woman presented with complaints of binocular diplopia and esotropia of the right eye lasting 4 years and head tilt to the left since 1 year after birth. The Bielschowsky head tilt test showed right hypertropia on a right head tilt. She did not report any other intracranial pathology. A diagnosis of AACE and right congenital paralytic strabismus was made. Then, she underwent medial rectus muscle recession and lateral rectus muscle resection combined with inferior oblique muscle myectomy in the right eye. One day after surgery, the patient reported that she had no diplopia at either distance or near fixation and was found to be orthophoric in the primary position; furthermore, her head posture immediately and markedly improved.
CONCLUSION
In future clinical work, in cases of AACE combined with other types of strabismus, we can perform conventional single surgery for both at the same time, and the two types of strabismus can be solved simultaneously.
Core Tip: Clinically, in cases of older children, adults, or even the elderly with sudden diplopia accompanied by simultaneous or subsequent esotropia, acute acquired concomitant esotropia (AACE) should be considered after excluding intracranial space-occupying lesions and vascular diseases. In recent years, the diagnosis and treatment of AACE have improved considerably, and until now no one has reported any case of AACE combined with other types of strabismus either in China or abroad. Here, we report one case of AACE with congenital paralytic strabismus.
