Refractive Accommodative Esotropia Associated with Mild Hyperopia

Chang, Ju Hee; Kim, Myung Mi

Abstract

PURPOSE
To evaluate the clinical features, courses, and prognosis of refractive accommodative esotropia associated with mild hyperopia. METHODS: We reviewed the records of 14 patients who were diagnosed with refractive accommodative esotropia associated with hyperopia of +2.00 diopters (D) or less. Age at onset and wearing glasses, refractive errors, angle of deviation before and after wearing glasses, binocular sensory status and the presence of amblyopia were evaluated for each patient. RESULTS: The average onset of esotropia was 25.2+/-22.0 months of age, and the average first use of glasses occurred at 65.9+/-12.9 months. The average angle of deviation at distance and near without correction were 21.7+/-8.7 prism diopters (PD) and 24.6+/-6.4PD, respectively. The average refractive error was +1.28+/-0.52D in the right eye and +1.41+/-0.55D in the left eye. The average angles of deviation at distance and near with correction were 3.0+/-2.7PD and 6.0+/-3.0PD, respectively. Among 14 patients, 9 showed esophoria or esotropia of 10PD or less within 14 weeks after wearing glasses. Decompensation developed in 1 patient who underwent recession of medial rectus. CONCLUSIONS: Hyperopia of +2.00D or less can cause refractive accommodative esotropia, so we should recommend the correction of hyperopia of +2.00D or less with esotropia.