Acquired accommodative esotropia following overcorrection by myopic epikeratophakia

Complications reported after epikeratophakia for high myopia include under- and overcorrection, glare, irregular astigmatism, delayed reepithelialization, and decrease in best-corrected visual acuity. Overcorrection may also result in anisometropia. This report describes a patient who presented with constant diplopia and esotropia - an unusual manifestation of overcorrection after myopic epikeratophakia. The findings in this patient are those of an acquired accommodative esotropia.