Diagnosing accommodative esotropia involves a comprehensive eye exam, including:

• Visual Acuity Test: To evaluate vision clarity.
• Refraction Test: To determine the correct lens prescription.
• Cover Test: To assess eye alignment.
• Convergence Test: To check how well the eyes work together.

Treatment for accommodative esotropia depends on the severity and may include:

• Glasses or Contact Lenses: To correct vision problems causing the esotropia.
• Prism Lenses: To help align the eyes and improve focus.
• Vision Therapy: Exercises to improve eye coordination and convergence.
• Surgery: To adjust the eye muscles if needed.

Home Monitoring:

• When Can Your Baby Go Home Without a Monitor? 
  • If your baby has been in the hospital and hasn’t had any significant breathing or heart problems for 3 to 10 days, they can usually go home safely without a monitor.

• When Might a Monitor Be Used at Home? 
  • Sometimes, if your baby is almost ready to go home but still has occasional breathing or heart issues that resolve on their own, a doctor might prescribe a home monitor or medication to help shorten their hospital stay. 
  • However, only a few babies are sent home with a monitor, and only if their episodes stop on their own without needing any intervention.

• Parental Training: 
  • If your baby goes home with a monitor, you’ll be taught how to use the equipment, what to do if an alarm goes off, and how to perform CPR if necessary.
  • You’ll also be given 24/7 phone support and regular check-ins to help decide when to stop using the monitor. 
  • Monitors that can store event data are preferred.

Safe Sleep Positioning:

• Back Sleeping Is Best: 
  • Always place your baby on their back to sleep on a firm, flat, and non-inclined surface, unless your doctor advises otherwise due to specific medical conditions. 
  • Avoid side sleeping or propping up the baby, as these positions are unstable.

• Proper Head and Neck Position: 
  • Keep your baby’s head in the middle and their neck in a neutral or slightly extended position to prevent airway blockage.

Car Seat Safety:

• Car Seat Challenge Test: 
  • All preterm infants, especially those with apnea of prematurity, should undergo a car seat challenge test before going home. 
  • This test ensures that your baby can maintain normal breathing, heart rate, and oxygen levels while in a car seat, reducing the risk of apnea, bradycardia, or low oxygen levels during car rides.

At Gertrude’s Children’s Hospital, we are committed to providing the best possible care for children with Accommodative Esotropia. Here’s why families trust us:

If you or your child has been diagnosed with accommodative esotropia or if you have concerns about vision, please contact us to schedule an appointment. Our expert team is here to provide the best possible care.