Essential Infantile Esotropia - Potential Role of Enhanced Subcortical Neuroplasticity

Despite its selective involvement of the ocular motor system, essential infantile esotropia is rarely mentioned in neuro-ophthalmology textbooks. This talk contextualizes essential infantile esotropia as a disorder that arises from an abnormal expression of the subcortical visual pathways subserving optokinesis with a secondary remodeling of cortical motion pathways. These subcortical motion pathways are normally shut down after the first few months of infant life, explaining why this disorder creates a scotoma within our neuro-ophthalmologic lexicon.