Journal of the Korean Ophthalmological Society 2006;47(1):121-126.
Published online January 31, 2006.
Occurrence and Risk Factors of Decompensation and Additional Treatment in Refractive Accommodative Esotropia.
Kyoung Sub Choi, Jee Ho Chang, Yoon Hee Chang, Jong Bok Lee
1The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. 491209@yumc.yonsei.ac.kr
2Myung-Gok Eye Research Institute, Konyang University, Kim's Eye Hospital, Seoul, Korea.
3Department of Ophthalmology, Ajou University College of Medicine, Suwon, Korea.
굴절조절내사시에서 대상부전과 추가치료의 발생 및 위험요인
최경섭1,장지호2,장윤희3,이종복1
The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine1, Seoul, Korea Myung-Gok Eye Research Institute, Konyang University, Kim`s Eye Hospital2, Seoul, Korea Department of Ophthalmology, Ajou University College of Medicine3, Suwon, Korea
Correspondence:  Kyoung Sub Choi, M.D.1
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.
Key Words: Additional treatment;Decompensation;Refractive accommodative esotropia


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