Definition:

Concomitant Esotropia is a type of strabismus, also known as “crossed eyes,” where the eyes deviate inwards towards the nose and are unable to align properly.

Characteristics:

1. Bilateral: Concomitant Esotropia affects both eyes simultaneously.

2. Constant Deviation: The inward eye misalignment remains consistent, regardless of the direction of gaze.

3. Equivalent Deviation: The degree of misalignment is approximately equal in all directions of gaze.

4. Nonrestrictive: The misalignment is not influenced by focusing on near or distant objects.

Symptoms:

1. Eye Misalignment: The eyes are visibly crossed, leading to an obvious cosmetic concern.

2. Diplopia: Double vision may occur, especially in cases where the misalignment is acquired later in life.

3. Asthenopia: Eye strain and discomfort can be experienced, particularly during close work or prolonged visual tasks.

4. Amblyopia: In some cases, the misalignment can result in the development of lazy eye if not treated early in childhood.

Treatment:

1. Glasses: Prescription glasses may be prescribed to correct any refractive errors and help improve alignment.

2. Patch Therapy: Covering the stronger eye with an eye patch can encourage the weaker eye to strengthen and align properly.

3. Vision Therapy: Customized exercises, including eye exercises and visual activities, are used to improve eye coordination and strengthen the eye muscles.

4. Surgical Intervention: In certain cases, surgery may be required to modify the position of the eye muscles and achieve proper alignment.

It’s important to consult with an ophthalmologist or a pediatric ophthalmologist for a comprehensive evaluation and appropriate management of Concomitant Esotropia.