From the Journals

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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A retrospective study published in PLOS One evaluated the non-surgical management of acute acquired comitant esotropia (AACE) through prisms and vision therapy. Conducted at a tertiary eye care center in India, the study involved 34 patients diagnosed with non-accommodative AACE, with 14 completing therapy. Results showed that 79% improved, with a median reduction of 7 prism diopters in esodeviation after treatment. The study highlights the efficacy of combining prisms with vision therapy in managing esodeviation and enhancing divergence amplitudes without the need for surgical intervention.

Original Source(s)

Prisms, Vision Therapy Reduce AACE

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

  • by Julie Greenbaum

  • March 5, 2026

  • 4 min

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