Prisms, Vision Therapy Reduce AACE

Retrospective cohort shows 79% of patients improved without surgery, with measurable gains in divergence and reduced esodeviation

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Non-surgical management with prisms and vision therapy improved divergence amplitudes and reduced esodeviation in 79% of AACE patients.
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The study evaluated 34 patients with acute acquired comitant esotropia, focusing on those with non-accommodative, non-neurologic types.
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After therapy, distance esodeviation decreased by a median of 7 prism diopters, and divergence amplitudes increased by about 7 prism diopters.
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Patients with esodeviation of 20 PD or less were often managed with vision therapy alone, while larger deviations required combined treatment.
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The study highlighted limitations such as its retrospective design and lack of a control group, emphasizing the need for further research.

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