Significant Increase in Esodeviation Following Cycloplegia in Accommodative Esotropia

Cycloplegia is crucial for diagnosing and managing esotropia and hypermetropia. By relaxing accommodation, it allows for an accurate measurement of hypermetropia. This report highlights a rare case of significantly increased esodeviation following cycloplegia with 1% cyclopentolate and 1% tropicamide in a child with refractive accommodative esotropia. In addition, it emphasizes the importance of using strong cycloplegic agents such as atropine to fully relax accommodation in such conditions.