What is it about?
Acute-onset concomitant esotropia in children is characterized by sudden inward turning of the eyes, often accompanied by double vision, and timely treatment is essential to maintain comfortable vision and to preserve or develop binocular function. In this retrospective study, we compared the clinical outcomes of botulinum toxin A injection versus conventional eye muscle surgery in 40 children treated at Beijing Children’s Hospital. Our results showed that both interventions were effective in improving ocular alignment and restoring binocular visual function, with similar success rates between the two groups, and that type II acute-onset concomitant esotropia was the most common subtype observed.
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Why is it important?
These findings suggest that botulinum toxin A injection may be a valuable early treatment option for pediatric patients, as it is less invasive, requires shorter anesthesia time, and can be performed before the eye deviation has stabilized.
Perspectives
Our findings show that both approaches yield favourable outcomes, with many children achieving satisfactory ocular alignment and restoration of binocular visual function. I hope this work will facilitate earlier recognition and timely management of the condition, and also aid clinicians and families in reaching well‑informed decisions when selecting the most suitable treatment for each affected child.
Jingjing Jiang
Beijing Children’s Hospital
Read the Original
This page is a summary of: Acute-onset Concomitant Esotropia in Children: A Comparison of Clinical Features and Treatment Outcomes, Journal of Ophthalmic and Vision Research, July 2025, Knowledge E,
DOI: 10.18502/jovr.v20.14661.
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