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JAMA Ophthalmology Clinical Challenge
April 15, 2021

Intermittent Esotropia in an Adult

Author Affiliations
  • 1Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota
  • 2Department of Neurology, Mayo Clinic, Rochester, Minnesota
JAMA Ophthalmol. Published online April 15, 2021. doi:10.1001/jamaophthalmol.2020.4929

A 33-year-old woman was referred for evaluation of intermittent esotropia. When playing video games at a distance or when reading, she developed oscillopsia with eyestrain and noted that her right eye turned up and in. She had undergone strabismus surgery for crossed eyes as a young child and more recently had laser in situ keratomileusis performed. She was medically healthy and neurodevelopmentally normal but had been born 4½ weeks premature. There was no family history of strabismus, and she denied diplopia.

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