Cyclic esotropia

Authors

  • Ana Isabel Santana Machado Hospital Pediátrico “José Luis Miranda”, Santa Clara, Villa Clara, Cuba
  • Armando Y. Estévez Díaz Hospital Pediátrico “José Luis Miranda”, Santa Clara, Villa Clara, Cuba
  • Cila Machado Pinto Hospital Pediátrico “José Luis Miranda”, Santa Clara, Villa Clara, Cuba

Keywords:

esotropia/diagnosis, strabismus/surgery

Abstract

Cyclic esotropia is a very rare form of esotropia, a particular clinical form of deviation related to the circadian cycle or biological clock. It is an acquired esotropia occurring in patients of all ages, though it is more frequent between 2 and 6 years of age –these patients alternate between straight eyes and esotropia every 24 to 48 hours-. It could be progressive and after some months or years of esodeviation it becomes constant in most of the patients. Although the most common cycle is 24 hours straight and 24 hour esotropia (alternate day esotropia), other forms of cyclic exotropia have been identified: cyclic oculomotor paralysis, cyclic nystagmus, periodic mydriasis, cyclic palpebral alterations and cyclic vertical deviations. A patient who arrived at the Pediatric Ophthalmologic Services with 24 hour cycles of ortotropia followed by increasingly long periods of esotropia is presented.

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Author Biographies

Ana Isabel Santana Machado, Hospital Pediátrico “José Luis Miranda”, Santa Clara, Villa Clara, Cuba

Especialista de I Grado en Oftalmología. Máster en Atención Integral al Niño. Profesora Asistente del Instituto Superior de Ciencias Médicas de Villa Clara “Dr. Serafín Ruiz de Zárate Ruiz”.

Armando Y. Estévez Díaz, Hospital Pediátrico “José Luis Miranda”, Santa Clara, Villa Clara, Cuba

Especialista de I Grado en Oftalmología. Profesor Instructor del Instituto Superior de Ciencias Médicas de Villa Clara “Dr. Serafín Ruiz de Zárate Ruiz”.

Cila Machado Pinto, Hospital Pediátrico “José Luis Miranda”, Santa Clara, Villa Clara, Cuba

Especialista de I Grado en Oftalmología. Profesora Asistente del Instituto Superior de Ciencias Médicas de Villa Clara “Dr. Serafín Ruiz de Zárate Ruiz”.

How to Cite

1.
Santana Machado AI, Estévez Díaz AY, Machado Pinto C. Cyclic esotropia. Acta Méd Centro [Internet]. 2008 Sep. 17 [cited 2025 Jun. 29];2(3):58-62. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/404