J Korean Ophthalmol Soc.  2008 Mar;49(3):487-492. 10.3341/jkos.2008.49.3.487.

Clinical Features of Refractive Accommodative Esotropia: Long-term Study

• Kang IS
• Park SW
• Park YG

• KMID: 2211323
• DOI: http://doi.org/10.3341/jkos.2008.49.3.487

Abstract

PURPOSE: To analyze the long-term clinical features and functional outcomes of refractive accommodative esotropia.
METHODS
Initial and final age, cycloplegic refraction, distance and near deviation with and without correction, stereoacuity and incidence of amblyopia were evaluated in 45 patients with accommodative esotropia.
RESULTS
The follow-up duration was 65.77+/-43.98 (6~151) months, and the mean age was 4.02+/-1.97 and 9.42+/-3.77 years at the first and final visits, respectively. The cycloplegic refraction was decreased from 5.16+/-1.92 diopters (D) to 4.41+/-1.83D, averaging -0.09+/-0.40D annually (P<0.01). Of these hyperopic eyes, 55 (61.1%) experienced a decrease, 22 (24.4%) an increase, and 5 (5.6%) showed no changes. From 5 (31.2%) to 12 (75.0%) of 16 patients had a stereoacuity of 100 sec/arc or better (p<0.01). Fusion was achieved in 14 (87.5%) at the final visit, up from 11 (68.8%) at the first visit (P=0.39); 23 (51.1%) of the patients were amblyopic; and anisometropia was found in 9 (39.1%) patients.
CONCLUSIONS
Patients whose esotropia was corrected with full cycloplegic hyperopic correction show decreased longitudinal changes in spherical equivalent refractive error with a time course and have excellent binocularity outcomes.

Keyword

Accommodative esotroipia; Spherical equivalent; Stereoacuity

MeSH Terms

Amblyopia
Anisometropia
Esotropia
Eye
Follow-Up Studies
Humans
Incidence
Refractive Errors
Telescopes

Reference

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