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Article: Does infantile esotropia arise from a dissociated deviation?

Brodsky, Michael C / Fray, Katherine J

Archives of ophthalmology (Chicago, Ill. : 1960)

2007  Volume 125, Issue 12, Page(s) 1703–1706

Abstract: ... the 2 eyes into a "convergent" position, resulting in infantile esotropia.(2). ... early in life, monocular fixation may give rise to a larger dissociated esotonus that gradually drives ...

Abstract Tonus refers to the effects of baseline innervation on musculature in the awake, alert state.(1) Since the normal anatomical resting position of the eyes is one of exodeviation, extraocular muscle tonus plays a vital physiologic role in establishing ocular alignment. Under normal conditions, binocular esotonus is superimposed on the baseline anatomical position of rest to maintain approximate ocular alignment, save for a minimal exophoria that is easily overcome by active convergence. When binocular visual input is preempted early in life, monocular fixation may give rise to a larger dissociated esotonus that gradually drives the 2 eyes into a "convergent" position, resulting in infantile esotropia.(2).
MeSH term(s) Esotropia/etiology ; Exotropia/complications ; Exotropia/physiopathology ; Eye Movements ; Humans ; Infant ; Oculomotor Muscles/physiopathology ; Vision, Binocular
Language English
Publishing date 2007-12
Publishing country United States
Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
ZDB-ID 211580-3
ISSN 1538-3601 ; 0003-9950 ; 0093-0326
ISSN (online) 1538-3601
ISSN 0003-9950 ; 0093-0326
DOI 10.1001/archopht.125.12.1703
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