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How does congenital cataract cause esotropia?

Congenital cataract blocks vision in the eye. This causes an unequal visual input
breaking up the fusion mechanism joining the visual axis of the two eyes. When
the two eyes no longer have a common visual experience they can become
misaligned. In youth, this misalignment usually results in esotropia.

- Eugene M. Helveston, M.D.

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