Does hyperopia-induced esotropia require surgery?
Disease description:
The child previously had hyperopia, which has now led to esotropia. A friend suggested surgery. I would like to ask: Is surgery necessary for esotropia caused by hyperopia?
Esotropia caused by hyperopia requires surgical intervention. For refractive accommodative esotropia, patients are generally managed with a full refractive correction prescription for eyeglasses. In partially accommodative esotropia, the non-accommodative component may be treated surgically, while the accommodative component should continue to be corrected with glasses. Patients should undergo refraction evaluation every six months according to individual circumstances, and it is recommended to determine whether glasses need to be replaced based on changes in refraction.