Are other eye alignment problems associated with infantile esotropia?
Yes. Many develop some degree of dissociated vertical divergence (DVD). DVD is an upward drifting of the eyes which is usually most prominent in one eye. Some children become significantly farsighted as they grow and develop accommodative esotropia. Fortunately, accommodative esotropia can usually be treated with spectacles. Some children develop a slowly increasing outward drift of the eyes called exotropia. There are surgical and nonsurgical treatments available for exotropia. Latent nystagmus may be present. This is a small, rhythmic, horizontal movement of the eyes when one eye is closed or covered. Unilateral vision may be decreased by the nystagmus but bilateral vision (vision with both eyes open) is typically not affected. Occasionally a vertical acting eye muscle (inferior oblique) may overact which may cause the eye to move up when looking to the side. For example, the right eye moves up when it looks toward the nose. In certain circumstances eye muscle surgery may be indicate
