The study proposes a new classification of acute acquired concomitant esotropia (AACE) with myopia based on patients' ability to maintain binocular fusion at a distant point without correction.[5] The research included 105 AACE patients and 107 myopic controls, with 98.10% of AACE patients neglecting to wear glasses for extended near vision before the onset of the disease, which is significantly higher than the control group (13.08%).[5] Patients were divided into two groups: compensatory (87.62% of patients), which showed greater distance deviation than near, and noncompensatory (12.38%), which had a lower age of onset, lower refractive error, and larger deviation angles.[5] The compensatory type probably represents an abnormal adaptation to excessive convergence demand, while the noncompensatory type may indicate a decompensated mechanism.[5] Prolonged nearsightedness without myopia correction has been identified as a critical risk factor for the development of myopic AACE.[5] This new classification provides a better understanding of the causes and management of this disease.