Tong, D.

Treatment of Intermittent Esotropia Incorporating Peripheral Awareness Training.

Journal of Behavioral Optometry, 10(5), 1999.

Abstract: The patient with intermittent esotropia at distance can be symptomatic for diplopia (double vision), which may interfere with driving, work performance, and school achievement. The cosmesis of the strabismus may also affect the patient’s self-esteem. This report describes a patient with intermittent esotropia at distance who underwent vision therapy to relieve her symptom of diplopia (double vision) and cosmetic concerns. After two sessions of therapy emphasizing peripheral fusion and divergence, the patient became kinesthetically aware of the eye turn and she was able to regain single vision with minimal effort. The patient remained non-strabismic at one- and three- month follow-ups. This case illustrates that vision therapy can effectively relieve the symptoms of a patient with intermittent esotropia once the patient is able to gain active control of her visual system.