What are the treatment options for accommodative esotropia?
The usual initial intervention done is optical correction. This could be in the form of single vision lenses or contact lenses, depending on the age of the child and the motivation of the child and the parents. Bifocals are given to those with high accommodative convergence/accommodation ratio, who exhibit a much larger inward deviation at near. Surgery is usually recommended for those with residual deviation while wearing their full correction. The surgery is done to correct the non-accommodative component. It should be explained to parents that the child will still have to wear the full correction after surgery, in order to correct the accommodative component of the condition.
