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

• Main Authors: Mihir Kothari, Mohini Modak, Heena Khan, Shairin Jahan, Meghna Solanki, Vivek Rathod
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2020-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: anticholinergic; atropine; convergence excess; esotropia; progressive myopia
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2020;volume=68;issue=4;spage=653;epage=656;aulast=
• ISSN: 0301-4738; 1998-3689

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.