Staff View: Acute Acquired Comitant Esotropia (AACE)

Acute Acquired Comitant Esotropia (AACE) – post COVID-19 home confinement

AACE is a relatively rare form of strabismus characterized by a sudden onset of concomitant esotropia with diplopia. A 7-year-old boy presented to the Ophthalmology Department, HRPZ II, Kota Bharu with acute onset of diplopia. Two days before the presentation, his parents noted crossed eyes when h...

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Main Authors:	T.G., Aida, C.S., Syarmilla, Mustapa, Rossaidah, A. A., Aznor Azwan, Abdul Rahim, Muhammad Afzam Shah
Format:	Proceeding Paper
Language:	English
Published:	2023
Subjects:	R Medicine (General) RE Ophthalmology
Online Access:	http://irep.iium.edu.my/109227/7/109227_Acute%20Acquired%20Comitant%20Esotropia.pdf http://irep.iium.edu.my/109227/
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spelling	my.iium.irep.1092272024-01-31T08:46:11Z http://irep.iium.edu.my/109227/ Acute Acquired Comitant Esotropia (AACE) – post COVID-19 home confinement T.G., Aida C.S., Syarmilla Mustapa, Rossaidah A. A., Aznor Azwan Abdul Rahim, Muhammad Afzam Shah R Medicine (General) RE Ophthalmology AACE is a relatively rare form of strabismus characterized by a sudden onset of concomitant esotropia with diplopia. A 7-year-old boy presented to the Ophthalmology Department, HRPZ II, Kota Bharu with acute onset of diplopia. Two days before the presentation, his parents noted crossed eyes when he woke up and dancing eyes. He had no history of recent infections or physical or psychological stress. In the past 2 months, he used a tablet approximately 8 hours a day. His best corrected visual acuity (BCVA) was 6/12 on RE and 6/18 on LE eye. Stereopsis was not detectable by the Lang test.Manifest esotropia was 20 prism diopters (PD) at both far and near distances in all positions of gaze. The cycloplegic refraction was RE +0.75/-1.00 x 20 (6/7.5) and LE +1.50 / -1.00 x 165 (6/7.5) Ductions and versions were full. Neurologic evaluation and brain magnetic resonance imaging (MRI) under sedation were unremarkable. Full time glasses was prescribed, although other treatment options such as prisms and topical cycloplegics were discussed. A 22-year-old girl presented to the Ophthalmology Department, HRPZ II, Kota Bharu with acute onset of diplopia. She is studying on statistic course and spend many hours on computers. She had no history of recent infections or physical or psychological stress. The patient reported an intense use of the computer for more than 8 hours a day. She had worn any glasses yet. Her BCVA was 6/6 in both eyes. On alternate cover test, the manifest esotropia was 25 PD at both far and near distances in all positions of gaze. Ductions and versions were full, with no pattern strabismus. The cycloplegic refraction was RE -2.00/-0.25 X 180 and LE +1.00/-1.00 X 180. Neurologic evaluation and MRI were normal. Home confinement during covid-19 appeared to cause an increasing total hours of screen time and the number of consecutive minutes/hours without visual breaks should be recommended to prevent AACE. 2023 Proceeding Paper PeerReviewed application/pdf en http://irep.iium.edu.my/109227/7/109227_Acute%20Acquired%20Comitant%20Esotropia.pdf T.G., Aida and C.S., Syarmilla and Mustapa, Rossaidah and A. A., Aznor Azwan and Abdul Rahim, Muhammad Afzam Shah (2023) Acute Acquired Comitant Esotropia (AACE) – post COVID-19 home confinement. In: 4th Optometry Scientific Conference, 12-13 August 2023, Bangi, Selangor. (Unpublished)
institution	Universiti Islam Antarabangsa Malaysia
building	IIUM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	International Islamic University Malaysia
content_source	IIUM Repository (IREP)
url_provider	http://irep.iium.edu.my/
language	English
topic	R Medicine (General) RE Ophthalmology
spellingShingle	R Medicine (General) RE Ophthalmology T.G., Aida C.S., Syarmilla Mustapa, Rossaidah A. A., Aznor Azwan Abdul Rahim, Muhammad Afzam Shah Acute Acquired Comitant Esotropia (AACE) – post COVID-19 home confinement
description	AACE is a relatively rare form of strabismus characterized by a sudden onset of concomitant esotropia with diplopia. A 7-year-old boy presented to the Ophthalmology Department, HRPZ II, Kota Bharu with acute onset of diplopia. Two days before the presentation, his parents noted crossed eyes when he woke up and dancing eyes. He had no history of recent infections or physical or psychological stress. In the past 2 months, he used a tablet approximately 8 hours a day. His best corrected visual acuity (BCVA) was 6/12 on RE and 6/18 on LE eye. Stereopsis was not detectable by the Lang test.Manifest esotropia was 20 prism diopters (PD) at both far and near distances in all positions of gaze. The cycloplegic refraction was RE +0.75/-1.00 x 20 (6/7.5) and LE +1.50 / -1.00 x 165 (6/7.5) Ductions and versions were full. Neurologic evaluation and brain magnetic resonance imaging (MRI) under sedation were unremarkable. Full time glasses was prescribed, although other treatment options such as prisms and topical cycloplegics were discussed. A 22-year-old girl presented to the Ophthalmology Department, HRPZ II, Kota Bharu with acute onset of diplopia. She is studying on statistic course and spend many hours on computers. She had no history of recent infections or physical or psychological stress. The patient reported an intense use of the computer for more than 8 hours a day. She had worn any glasses yet. Her BCVA was 6/6 in both eyes. On alternate cover test, the manifest esotropia was 25 PD at both far and near distances in all positions of gaze. Ductions and versions were full, with no pattern strabismus. The cycloplegic refraction was RE -2.00/-0.25 X 180 and LE +1.00/-1.00 X 180. Neurologic evaluation and MRI were normal. Home confinement during covid-19 appeared to cause an increasing total hours of screen time and the number of consecutive minutes/hours without visual breaks should be recommended to prevent AACE.
format	Proceeding Paper
author	T.G., Aida C.S., Syarmilla Mustapa, Rossaidah A. A., Aznor Azwan Abdul Rahim, Muhammad Afzam Shah
author_facet	T.G., Aida C.S., Syarmilla Mustapa, Rossaidah A. A., Aznor Azwan Abdul Rahim, Muhammad Afzam Shah
author_sort	T.G., Aida
title	Acute Acquired Comitant Esotropia (AACE) – post COVID-19 home confinement
title_short	Acute Acquired Comitant Esotropia (AACE) – post COVID-19 home confinement
title_full	Acute Acquired Comitant Esotropia (AACE) – post COVID-19 home confinement
title_fullStr	Acute Acquired Comitant Esotropia (AACE) – post COVID-19 home confinement
title_full_unstemmed	Acute Acquired Comitant Esotropia (AACE) – post COVID-19 home confinement
title_sort	acute acquired comitant esotropia (aace) – post covid-19 home confinement
publishDate	2023
url	http://irep.iium.edu.my/109227/7/109227_Acute%20Acquired%20Comitant%20Esotropia.pdf http://irep.iium.edu.my/109227/
_version_	1789940151546281984
score	13.211869

Acute Acquired Comitant Esotropia (AACE) – post COVID-19 home confinement

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