Mirror image
congenital esotropia and concordant hypermetropia in identical twins
(Esotropie congénitale en miroir et hypermétropie concordante chez une paire de
vrais jumeaux)
Dirani M, Schache M, Baird PN.
Centre for Eye Research Australia University of Melbourne, Royal Victorian
Eye and Ear Hospital, Melbourne, Australia.
PURPOSE: To
report the occurrence of mirror image congenital esotropia and concordant
hypermetropia in a pair of monozygotic twins.
METHODS: A pair of twins was recruited through the Australian Twin
Registry. Zygosity was determined by questionnaire, physical appearance, and
standard genotyping. Visual acuity was measured using the logMAR chart at 3 m
followed by cycloplegic refraction using the Topcon autorefractor.
RESULTS: Twin 1 developed right eye esotropia at 2 years of age with
bilateral hypermetropia (right = +5.75 D, left = +5.75 D). Twin 2 developed left
eye esotropia at age 2 years with bilateral hypermetropia (right = +6.75, left =
+7.50).
CONCLUSIONS: We describe the first reported case of mirror image
congenital esotropia with concordant hypermetropia in monozygotic twins.
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