This means that the eyes must work harder to see clearly, particularly when the object of regard is up close. The closer an object is to the eye, the greater the amount of accommodation that is required.
A side effect of the accommodative effort can be excess convergence or crossing of the eyes.
These follow-up examinations are important not only to monitor the eye crossing, but also to check for associated problems such as amblyopia (decreased vision in one or both eyes which is common in this type of strabismus).
Surgery is indicated only if the eyeglasses fail to straighten the eyes while the glasses are on.
Heredity plays a role in determining which children develop esotropia.
Initial treatment for accommodative esotropia usually involves the prescription of eyeglasses or contact lenses to correct the patient’s refractive error (hyperopia) [See figure 1].
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Even after a child has been successfully wearing glasses to treat accommodative esotropia, it is still normal for the eyes to continue crossing without the glasses. "We hired Fairy Clare for a Kids at Work Day function. Everybody in the office was in awe of the art she created on the kid's faces.The balloon twisting was excellent also, she was really lovely to all of the kids and very accomodating and kind to them.Usually surgery for accommodative esotropia does not eliminate the need for glasses, but rather fixes the amount of crossing that is “left-over” when the glasses are on.The eyes will likely continue to cross when the glasses are off.