J Korean Ophthalmol Soc.  2007 Feb;48(2):315-320.

Five-Year Follow-up Results of Refractive Accommodative Esotropia

• Kim DJ
• Chun BY
• Kwon JY

Abstract

PURPOSE: To evaluate the clinical characteristics of refractive accommodative esotropia followed up for 5 years.
METHODS
Forty-three subjects with refractive accommodative esotropia, who had been followed up for at least 5 years were included in this study. Age and sex distribution, age at onset and the interval between onset of esotropia and initial visit were evaluated. Changes of the angle of deviation and the amount of hyperopia during follow-up period were analyzed.
RESULTS
The initial amount of hyperopia of 4.42+/-3.27D was decreased to 3.84+/-3.46D by the last exam. The average rate of hyperopia decrease per year was 0.12 diopters. The average angles of deviation at the initial and final exam were 31.74+/-13.72PD and 30.11+/-14.27PD, respectively. Among the 43 subjects who participated in this study, decompensation occurred in 2 patients in the third year and 1 patient in the fourth year.
CONCLUSIONS
There is a tendency for the amount of hyperopia to decrease over time. Further, deviation may deteriorate over time as well. Thus, long term follow-up management is necessary to control deviation in patients with refractive accommodative esotropia.

Keyword

Decompensation; Refractive accommodative esotropia; Refractive error changes

MeSH Terms

Esotropia*
Follow-Up Studies*
Humans
Hyperopia
Sex Distribution