Dr. Hilda Capó focuses on the complicated issue of treating adult-onset esotropia in her talk at the AAO 2023 symposium on "Adult Strabismus for the Comprehensive Ophthalmologist." The clinician should first determine whether the estropia is comitant or noncomitant. This is important, because no further workup is needed in the case of comitant esotropia without neurologic signs or symptoms. Treatment options for adult-onset esotropia include prism glasses and strabismus surgery.