J Korean Ophthalmol Soc > Volume 49(4); 2008 > Article
Journal of the Korean Ophthalmological Society 2008;49(4):617-622.
DOI: https://doi.org/10.3341/jkos.2008.49.4.617    Published online April 15, 2008.
Clinical Features of Refractive Accommodative Esotropia According to Degree of Hypermetropia.
Jong Hwa Jun, Young Chun Lee, Se Youp Lee
1Department of Ophthalmology, College of Medicine, Dongsan Medical Center, Keimyung University, Daegu, Korea. lsy3379@dsmc.or.kr
2Department of Ophthalmology, College of Medicine, Uijongbu St. Mary Hospital, The Catholic University of Korea, Seoul, Korea.
굴절조절내사시에서 원시정도에 따른 임상양상
전종화1ㆍ이영춘2ㆍ이세엽1
Department of Ophthalmology, College of Medicine, Dongsan Medical Center, Keimyung University1, Daegu, Korea / Department of Ophthalmology, College of Medicine, Uijongbu St. Mary Hospital, The Catholic University of Korea2, Seoul, Korea
Abstract
PURPOSE
This study examined differences in clinical patterns according to the hyperopia level in refractive-accommodative esotropia patients. METHODS: Ninety-four refractive-accommodative esotropia patients were divided into 3 groups according to hyperopia level: group 1, > or = +1.00D and < +3.00D group 2, > or = +3.00D and < +5.00D and group 3, > or = +5.00D. The following factors were analyzed retrospectively: the initial corrective visual acuity, the final corrective visual acuity, the angle of esotropia with or without hyperopic correction, the recovery time to orthophoria after hyperopic correction, the change in hyperopia level, and the frequency of amblyopia. RESULTS: The angles of esotropia without hyperopic correction in groups 1, 2 and 3 were 18.4+/-7.3PD, 22.9+/-8.5PD, and 25.7+/-10.4PD, respectively. The angle of esotropia was found to be significantly greater in the group with the higher level of hyperopia (P=0.01). The monthly change in hyperopia in groups 1, 2 and 3 was 0.018+/-0.02D, 0.028+/-0.03D and 0.043+/-0.03D. The change was greater in the group with the higher level of hyperopia (P=0.009). CONCLUSIONS: In refractive-accommodative esotropia patients, the more the hyperopia without correction increases, the more the angle of esotropia without correction increases, and the larger the reduction of hyperopia after correction becomes.
Key Words: Accommodative;Hyperopia;Refractive


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