Incidence of strabismus in preverbal children with hyperopia previously diagnosed with pseudoesotropia

Abstract

We previously reported that 12% of children under age 3 diagnosed with pseudoesotropia without significant refractive error later developed strabismus or mild refractive amblyopia. Mohan and Sharma recently reported on 51 patients with pseudoesotropia and hyperopia and noted that esotropia developed in 53.9% of the children with >1.50 D of hypermetropia compared to 2.6% of those who had <=1.50D hypermetropia, implying a low risk of esotropia unless hyperopia was greater than1.50D on initial examination.