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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