J Korean Ophthalmol Soc.  2006 Mar;47(3):500-504.

A Case of Cyclic Esotropia after Psychological Trauma

• Kang HG
• Kim SJ
• Kim SY

Abstract

PURPOSE: To report a case of cyclic esotropia after psychological trauma that resolved spontaneously without any surgical treatment.
METHODS
An 8-year-old boy developed blepharoptosis, limitation of abduction, and esotropia with headache and vomiting after psychological trauma. Brain MRI, cerebrospinal fluid examination, and EEG (electroencephalogram) showed no significant abnormalities. The ptosis and limitation of abduction were resolved gradually, but esotropia persisted in a cyclic pattern.
RESULTS
During follow-up, the 96-hour cycle of esotropia was gradually shortened to a 48-hour and then to 24-hour cycle. At final follow-up, the cyclic esotropia had disappeared completely and the patient has been orthotroric for more than 4 years.
CONCLUSIONS
Cyclic esotropia may occur after psychological trauma and may resolved spontaneously without any surgical treatment.

Keyword

Cyclic esotropia; Psychological trauma

MeSH Terms

Blepharoptosis
Brain
Cerebrospinal Fluid
Child
Electroencephalography
Esotropia*
Follow-Up Studies
Headache
Humans
Magnetic Resonance Imaging
Male
Vomiting