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 |
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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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