Abstract
We encountered a 4 1/2-year-old girl with gradual onset of intermittent, comitant esotropia in the absence of diplopia and other neurologic findings. Because of the patient's relatively advanced age and lack of response to hyperopic correction for accommodative esotropia, computed tomography of the head was performed. A large cerebellar astrocytoma was identified and successfully resected. After strabismus surgery, fusion was reestablished. The onset of comitant esotropia in an older child may indicate an underlying neurologic disorder.
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