J Korean Ophthalmol Soc.  2006 Jan;47(1):121-126.

Occurrence and Risk Factors of Decompensation and Additional Treatment in Refractive Accommodative Esotropia

• Choi KS
• Chang JH
• Chang YH
• Lee JB

Abstract

PURPOSE: To examine the occurrence and risk factors of decompensation and the additional treatment of increased hyperopia in refractive accommodative esotropia.
METHODS
Seventy children with refractive accommodative esotropia were followed up for at least 2 years. Time of decompensation and additional treatment, initial refractive error, initial deviation, and controlled deviation were all studied.
RESULTS
Decompensation and additional treatment occurred on average at 21.8 months and 22.2 months in eight patients, respectively, and constant survival was achieved after 4 years of full correction of the refractive error, as shown on a Kaplan-Meier survival curve. In the decompensation, additional treatment and control groups, initial refractive errors were 3.97+/-1.07D, 4.06+/-1.92D and 4.60+/-1.29D, respectively; initial deviations were 36.25+/-12.75PD, 31.25+/-10.61PD and 26.02+/-8.62PD, respectively; and controlled deviations were 4.50+/-6.30PD, 4.50+/-4.63PD and 2.65+/-4.10PD, respectively. There was a significant difference in initial deviation between the decompensation and control groups (p=0.011).
CONCLUSIONS
The treatment of decompensation and increased hyperopia warranted careful follow-up in the first 4 years after treatment, and patients with large initial deviation risked decompensation.

Keyword

Additional treatment; Decompensation; Refractive accommodative esotropia

MeSH Terms

Child
Esotropia*
Follow-Up Studies
Humans
Hyperopia
Refractive Errors
Risk Factors*