Refractive Accommodative Esotropia: Duration between Wearing Hyperopic Glasses and Control of Esotropia within 8 PD.

Jeon, Hye Min; Yang, Heon; Kim, Sang Won; Kim, Sun Ah

doi:2015.56.5.764

J Korean Ophthalmol Soc > Volume 56(5); 2015 > Article

Original Article

Journal of the Korean Ophthalmological Society 2015;56(5):764-770.
DOI: https://doi.org/10.3341/jkos.2015.56.5.764 Published online May 15, 2015.

Refractive Accommodative Esotropia: Duration between Wearing Hyperopic Glasses and Control of Esotropia within 8 PD.

Hye Min Jeon, Heon Yang, Sang Won Kim, Sun Ah Kim

Sungmo Eye Hospital, Busan, Korea. sunei2@naver.com

첫 원시교정안경 착용 후 내사시가 교정되기까지 오래 걸린 굴절조절내사시의 임상양상

전혜민⋅양 헌⋅김상원⋅김선아

성모안과병원

Abstract

PURPOSE
To report clinical aspects of children diagnosed with refractive accommodative esotropia after wearing their first glasses to correct hyperopia accompanied with esodeviation. METHODS: The present study included 75 children followed up for at least 24 months. Age, spherical equivalent of refractive error, angle of deviation and presence of amblyopia were analyzed according to the duration between first wearing glasses and control of esotropia within 8 PD (< or =2 months vs. >2 months). RESULTS: The mean age was 4.48 +/- 2.08 years and mean follow-up was 50.17 months. Initial deviation angle without glasses was 25.43 +/- 10.07 PD at far, 27.72 +/- 11.45 PD at near, spherical equivalent was +4.86 +/- 2.41 D in right eyes, +5.05 +/- 1.06 D in left eyes and 8 of 75 patients (10.67%) had < or =2 D of hyperopia. Esotropia was controlled within 8 PD with hyperopic glasses in 61 of 75 children (81.3%) within 2 months, 6 (8%) within 3-6 months, 4 (5.3%) within 6-12 months and 4 (5.3%) after 12 months. In comparison, esotropia was controlled < or =2 months in 61 of 75 children (81.3%); 14 of 75 children (18.7%) requiring >2 months had less hyperopia (+4.02 D vs. 5.17 D), more severe esodeviation both at far (30.79 +/- 10.79 PD vs. 24.17 +/- 9.56 PD, p = 0.03) and at near distance (34.00 +/- 14.20 PD vs. 26.25 +/- 10.31 PD, p = 0.02) and higher initial amblyopia prevalence rates (71.5% vs. 47.5%). CONCLUSIONS: Several patients needed longer follow-up until esotropia was controlled within 8 PD after wearing hyperopic glasses considering the amount of hyperopia and angle of esodeviation.

Key Words: Esotropia;Hyperopic glasses;Refractive accommodative esotropia