Abstract
Patients with adult-onset, gradual, acquired, comitant esotropia present a diagnostic challenge. Heavy eye syndrome (HES) and sagging eye syndrome (SES) have been postulated to explain this pathophysiology. HES affects high myopes, typically over 10 D. SES typically affects patients over 60 from LR-SR band degeneration. In our study we review clinical, imaging and laboratory findings of patients falling outside the parameters of SES and HES.
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