Korean J Ophthalmol.  2007 Sep;21(3):159-162. 10.3341/kjo.2007.21.3.159.

Reduction of Deviation Angle During Occlusion Therapy: In Partially Accommodative Esotropia with Moderate Amblyopia

• Chun BY
• Kwon SJ
• Chae SH
• Kwon JY

• KMID: 1099032
• DOI: http://doi.org/10.3341/kjo.2007.21.3.159

Abstract

PURPOSE: To evaluate changes in ocular alignment in partially accommodative esotropic children age ranged from 3 to 8 years during occlusion therapy for amblyopia. METHODS: Angle measurements of twenty-two partially accommodative esotropic patients with moderate amblyopia were evaluated before and at 2 years after occlusion therapy. RESULTS: Mean deviation angle with glasses at the start of occlusion treatment was 19.45+/-5.97 PD and decreased to 12.14+/-12.96 PD at 2 years after occlusion therapy (p<0.01). After occlusion therapy, 9 (41%) cases were indications of surgery for residual deviation but if we had planned surgery before occlusion treatment, 18 (82%) of patients would have had surgery. There was a statistical relationship between increase of visual acuity ratio and decrease of deviation angle (r=-0.479, p=0.024). CONCLUSIONS: There was a significant reduction of deviation angle of partially accommodative esotropic patients at 2 years after occlusion therapy. Our results suggest that occlusion therapy has an influence on ocular alignment in partially accommodative esotropic patients with amblyopia.

Keyword

Amblyopia; Occlusion therapy; Ocular alignment; Partially accommodative esotropia; Visual acuity ratio

MeSH Terms

*Accommodation, Ocular
Adult
Aged
Amblyopia/*etiology/*physiopathology
Esotropia/*physiopathology/*therapy
Female
Humans
Male
Middle Aged
Occlusive Dressings/adverse effects
Retrospective Studies
*Sensory Deprivation
Treatment Outcome