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Indian J Ophthalmol. 2019 Feb;67(2):280-282. doi: 10.4103/ijo.IJO_1018_18.

Consecutive cyclic esotropia - A case report.

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Child Sight Institute, The David Brown Children's Eye Care Centre, Tadigadapa, Vijayawada, Andhra Pradesh, India.
Fellow in Comprehensive Ophthalmology, Academy of Eye Care Education, L V Prasad Eye Institute, Kode Venkatadri Chowdary Campus, Tadigadapa, Vijayawada, Andhra Pradesh, India.
Child Sight Institute, Jasti V Ramanamma Children's Eye Care Centre, L V Prasad Eye Institute, Kallam Anji Reddy Campus, Hyderabad, Telangana, India.


Cyclic esotropia, a rare condition of obscure etiology characterized by regularly alternating periods of esotropia and orthophoria. We present a case of a 7-year-old boy who underwent surgical correction for intermittent exotropia elsewhere and developed esotropia with cyclic pattern post-operatively. Initially the cycle was of half-day orthophoria and half-day esotropia, which later became one full day of esotropia and one day of orthophoria. During re-surgery, right lateral rectus was found to have a stretched scar which was resected and then advanced and medial rectus was recessed. Post-surgery the child was orthophoric without cyclic pattern.


Consecutive esotropia; cyclic esotropia; stretched scar

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