Case reportNonaccommodative esotropia after cataract extraction in a patient with previous accommodative esotropiaGunton, Kammi B. MDa; Nelson, Leonard B. MD*,a; Tabas, Janine G. MDa Author Information aDepartment of Pediatric Ophthalmology and General Ophthalmology Service, Wills Eye Hospital, Philadelphia, Pennsylvania, USA *Reprint requests to Leonard B. Nelson, MD, Department of Pediatric Ophthalmology, Wills Eye Hospital, 900 Walnut Street, Philadelphia, Pennsylvania 19107, USA. Accepted for publication June 20, 2001. Journal of Cataract & Refractive Surgery: March 2002 - Volume 28 - Issue 3 - p 566-568 doi: 10.1016/S0886-3350(01)01037-9 Buy Metrics Abstract We report a case of nonaccommodative esotropia developing after bilateral cataract surgery that corrected the preexisting hyperopia in a patient with accommodative esotropia since childhood. The esotropia required surgical correction despite the good visual acuity after the cataract surgery. In patients with preexisting strabismus, there is a possibility of decompensation of adaptive binocular mechanisms after cataract surgery and refractive procedures. © 2002 by Lippincott Williams & Wilkins, Inc.