Where a patient tends to consistently fixate with one eye and squint with the other, the eye that squints is likely to develop some amblyopia. Someone whose squint alternates is very unlikely to develop amblyopia because both eyes will receive equal visual stimulation. It is possible to encourage alternation through the use of occlusion or patching of the dominant or fixating eye to promote the use of the other. Esotropia is a highly prevalent congenital condition. Concomitant versus incomitant
Esotropias can be concomitant, where the size of the deviation does not vary with direction of gaze—or incomitant, where the direction of gaze does affect the size, or indeed presence, of the esotropia. The majority of esotropias are concomitant and begin early in childhood, typically between the ages of 2 to 4 years. Incomitant esotropias occur both in childhood and adulthood as a result of neurological, mechanical or myogenic problems affecting the muscles controlling eye movements. Primary, secondary or consecutive
Concomitant esotropias can arise as an initial problem, in which case they are designated as "primary," as a consequence of loss or impairment of vision, in which case they are designated as "secondary," or following overcorrection of an initial exotropia in which case they are described as being "consecutive". The vast majority of esotropias are primary. Treatment
The prognosis for each patient with esotropia will depend upon the origin and classification of their condition. However, in general, management will take the following course:

Identify and treat any underlying systemic condition.
Correction and decompression cervical spinal surgeries significantly increase quality of life and reduce symptoms. Post-surgery, 93 to 100 percent patients report reduced cervicocranical syndrome symptoms such as neck pain. Epidemiology
Cervicocranial syndrome significantly affects the aging world population and is associated with significant morbidity. It affects men and women equally when occurring due to atlanto-occipital assimilation. Increased incidences among low-socioeconomic groups and among groups that do not have access to healthcare show subsequently higher rates of morbidity and mortality. Research Directions
Cervicocranial syndrome can be caused with or as a result of numerous neurological problems so not one single disease can be pinpointed. Further research can explore the common neurological problems causing cervicocranial syndrome and look at various treatments including therapeutic ones. For example, a study, "The influence of cranio-cervical rehabilitation in patients with myofascial temporomandibular pain disorders,"  explored the therapeutic options of physical therapy and concluded that 88% from a total of 98 patients (79 female and 19 male), felt reduced pain. On the contrary another study, "The efficacy of manual therapy and therapeutic exercise in patients with chronic neck pain: A narrative review"  conducted in 2018, concluded that there is a lack of evidence that support therapeutic exercise to reduce neck pain via manipulation. References


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