Aim: To describe 11 patient with longstanding fully accommodative esotropia who developed benign intracranial hypertension.
Method: A case is documented with history, orthoptic, ophthalmological and neurological findings. The diagnosis of benign intracranial hypertension is discussed in relation to the child’s symptoms and when further investigation is required.
Results: An unexplained temporary decompensation of a previously well-controlled deviation followed by several episodes of blurred vision and occasional headache 6 months later prompted the orthoptists to press for further investigations. Subsequent neurological investigation led to a diagnosis of benign intracranial hypertension.
Conclusion: The orthoptic team were responsible for the long-term management of this child. The onset of symptoms that could not be easily accounted for were the key elements in the orthoptists’ request for further investigation.