This study explored the characteristics and outcomes of children with esotropia and ventriculo-peritoneal (VP) shunt placement due to hydrocephalus. The authors conducted a retrospective study of 16 patients (nine female, seven male) aged three months to 5.6 years (mean 17 months). 93.8% had developmental delay and 56.3% were premature. The average age at onset of hydrocephalus was 3.8 months (0-19 months) and average age of first shunt was 3.9 months (0-20 months). A total of 62.5% had congenital esotropia and 37.5% had acquired esotropia (four with accommodative esotropia, one with non-accommodative esotropia and one with cyclic esotropia). A total of 68.8% needed glasses – five were myopia and six hypermetropic. Fifty percent were amblyopia and 31.3% had optic atrophy. The authors report a higher incidence of congenital esotropia and myopic refractive error in these children compared with the general population.
Associations of esotropia with shunts
Reviewed by Fiona Rowe
Esotropia in children with ventriculo-peritoneal shunts.
CONTRIBUTOR
Fiona Rowe (Prof)
Institute of Population Health, University of Liverpool, UK.
View Full Profile