Acquired esotropia can occur after infancy and is not always responsive to farsighted glasses; because of this, it does not fall into the categories of congenital esotropia or Accomodative Esotropia as described above.

Although acquired esotropia can occur in patients aged 1-8 years, it typically develops in patients aged 2-5 years and appears to be infrequently associated with an underlying disease. With acquired esotropia, the angle of deviation is

relatively small, and early surgical correction (when indicated) is more likely to achieve bifoveal fixation for these patients than for those with congenital esotropia. The treatment of the patient with strabismus is based on the underlying cause like neurological diseases. In the absence of organic pathology, surgical correction is recommended.

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