What question did this study set out to answer?

To document the management of Age-Related Distance Esotropia in an elderly patient with comorbidities.

April 24, 2026Open Access

Management of Age-Related Distance Esotropia (Sagging Eye Syndrome) in a 92-Year-Old Patient: A Case Report

Key Points

To document the management of Age-Related Distance Esotropia in an elderly patient with comorbidities.
Clinical evaluation using Hess-Lancaster screening.
Prism titration performed with the Schober Test.
Application of a 4 ∆ Base-Out prism correction.
Success in restoring binocular fusion through optical rehabilitation.
Improvement in quality of life indicated by enhanced visual function.
Documented distance-near disparity of 12 ∆ esotropia at distance and 7 ∆ exotropia at near.

Abstract

This clinical case report documents the diagnostic workup and successful non-invasive management of a 92-year-old female presenting with Age-Related Distance Esotropia (ARDE), also known as Sagging Eye Syndrome. The patient, who has comorbidities of Parkinson’s disease and Type 2 Diabetes, exhibited a pathognomonic distance-near disparity (12 ∆ esotropia at distance vs. 7 ∆ exotropia at near). Clinical evaluation via Hess-Lancaster screening and prism titration (Schober Test) led to the successful implementation of a 4 ∆ Base-Out prism correction. The case emphasizes the effectiveness of conservative optical rehabilitation in restoring binocular fusion and quality of life in the fragile geriatric population.

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Cite This Study

Fatim Zahra Hakki El Haouassi (Wed,) studied this question.

synapsesocial.com/papers/69eb0bc7553a5433e34b5636 https://doi.org/https://doi.org/10.5281/zenodo.19691340

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