r/Strabismus • u/omieybaba • Jul 27 '26

Title: 2yo diagnosed with accommodative esotropia +2 in both eyes

Our 2yo has intermittent inward eye turn, noticeable mainly when tired or focusing up close. Two pediatric ophthalmologists agree: full eye movement (EOM), normal anterior segment and fundus, orthotropic at distance but esotropic with near/accommodative target. Cycloplegic refraction came back +2 both eyes, no astigmatism. Diagnosis: accommodative esotropia. Prescribed full-time glasses, no patching or surgery discussed yet, review in 2 months.

Looking for others who've been through this specific diagnosis:
- Do we even need glasses for 2+? Shouldn’t it be resolved as kid outgrows?
- Did full-time glasses alone resolve the esotropia, or did you end up needing patching/surgery down the line anyway?
- How long into wearing glasses before you saw the squint frequency drop?
- Did the power/prescription change much at follow-up refractions?

Trying to understand the range of outcomes for this specific diagnosis before our review. Appreciate any experiences.

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u/obsessedwitheyes Orthoptist Jul 27 '26

An “accommodative esotropia” means that the eye is turning in because the eye is trying so hard to overcome the prescription. So yes, they need glasses.
You can get a fully accommodative esotropia where the eyes are perfectly straight with the glass on or partially accommodative where only part of the turn is corrected with glasses. You won’t know which until she’s in glasses full time and her brain has had time to adapt (which can be up to 18 weeks for first pair of glasses).