J Korean Ophthalmol Soc.  2011 Nov;52(11):1331-1336.

Clinical Manifestation of Patients with Accommodative Esotropia for 10 Years

• Choi DK
• Choi MY

Abstract

PURPOSE
To analyze the clinical features of patients who successfully discontinued correction with hyperopic glasses for refractive accommodative esotropia during a 10 year follow-up.
METHODS
The authors of the present study analyzed 29 patients followed-up for a minimum of 10 years after diagnosis of accommodative esotropia. The patients were divided into 2 groups: patients who successfully discontinued correction with hyperopic glasses (10 patients, Group A), and patients who required constant use of hyperopic glasses (19 patients, Group B). The age at first visit, refractive error, deviated angle without correction, stereopsis, and follow-up duration were compared between the 2 groups.
RESULTS
The mean age at first visit for all patients was 3.03 +/- 1.46 years, and the follow-up duration was 11.3 +/- 1.51 years. Patients in Group A discontinued the use of hyperopic glasses after 10.26 +/- 2.08 years. There were no statistical differences in mean age at first visit, deviated angle without correction, stereopsis, follow-up duration, or the amount of change in hyperopia. The initial amount of hyperopia in Group A was 3.81 +/- 1.54 D, significantly lower than the 5.12 +/- 1.37 D in Group B.
CONCLUSIONS
After a 10 year follow-up of accommodative esotropia, 34% of the patients discontinued the use of hyperopic glasses, and the hyperopic amount at initial visit was statistically lower than that of patients who required constant use of hyperopic glasses.

Keyword

Accommodative esotropia; Hyperopic glasses; Refractive error

MeSH Terms

Benzeneacetamides
Depth Perception
Esotropia
Eyeglasses
Follow-Up Studies
Glass
Humans
Hyperopia
Piperidones
Refractive Errors
Benzeneacetamides
Piperidones

Figure

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  Figure 1. The change of refractive error. Group A = patients who successfully discontinued correction with hyperopic glasses; Group B = patients who needed persistent wearing of hyperopic glasses; Refractive error was maintained for 3.7 years in Group A, 3.0 years in Group B then began to decrease.* p-value.

Reference

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