Convergence excess consecutive esotropia associated with 0.01% atropine eye drops usage in patients operated for intermittent exotropia

Indian J Ophthalmol. 2020 Apr;68(4):653-656. doi: 10.4103/ijo.IJO_1243_19.

Abstract

To report convergence excess esotropia (CEET) following 0.01% atropine eye drops (Low dose atropine [LDA]). Children who developed CEET that resolved promptly after discontinuation of LDA are described. Three myopes aged 5.3 ± 1.2 years and mean sphere -4.5D were included. All were operated for intermittent exotropia earlier. Mean esotropia was +28.3PD for near and 10.6PD for distance. LDA induced high AC/A ratio and fusion normalized in 3 weeks after discontinuation of LDA. LDA should be used with caution in patients with esophoria or previously operated for intermittent exotropia. Any evidence of the emergence of a CEET should warrant discontinuation of LDA.

Keywords: Anticholinergic; atropine; convergence excess; esotropia; progressive myopia.

Publication types

  • Case Reports

MeSH terms

  • Accommodation, Ocular
  • Atropine / adverse effects
  • Child
  • Child, Preschool
  • Convergence, Ocular
  • Esotropia* / chemically induced
  • Esotropia* / diagnosis
  • Esotropia* / surgery
  • Exotropia* / chemically induced
  • Exotropia* / diagnosis
  • Exotropia* / surgery
  • Humans
  • Oculomotor Muscles / surgery
  • Ophthalmic Solutions

Substances

  • Ophthalmic Solutions
  • Atropine