The Initial Factors Influencing Successful Final Stereoacuity in Refractive Accommodative Esotropia.
10.3341/jkos.2014.55.6.877
- Author:
Sang Hun HYUN
1
;
Hae Jung PAIK
Author Information
1. Department of Ophthalmology, Gachon University Gil Medical Center, Incheon, Korea. hjpaik@gilhospital.com
- Publication Type:Original Article
- Keywords:
Amblyopia;
Hyperopic refractive error;
Refractive accommodative esotropia;
Stereoacuity
- MeSH:
Amblyopia;
Esotropia*;
Eyeglasses;
Follow-Up Studies;
Glass;
Humans;
Hyperopia;
Refractive Errors;
Retrospective Studies
- From:Journal of the Korean Ophthalmological Society
2014;55(6):877-881
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the initial factors influencing successful final stereoacuity in patients with refractive accommodative esotropia. METHODS: The charts of 48 refractive accommodative esotropia patients 2 years of age or older andassessed using the Titmus stereoacuity test were retrospectively reviewed. Hyperopic refractive error on post-cycloplegic refraction, age at first glasses, stereoacuity after refractive correction and amblyopia were categorized and evaluated as the factors influencing final stereoacuity. RESULTS: The mean follow-up period was 43.51 +/- 30.02 months. The mean hypermetropia at the initial examination was 4.67 +/- 2.18 diopters (D), the mean age at first glasses was 48.09 +/- 20.22 months and the mean stereoacuity after refractive correction was 1243.75 +/- 1378.24 seconds of arc. The rates of successful stereoacuity at the final visit were 83.3% without amblyopia, 75.0% with mild amblyopia and 42.9% with moderate amblyopia which were statistically significant (p = 0.039). Hyperopic refractive error and age at first glasses were categorized as +1.0 to <3.0 D, +3.0 to <5.0 D, > or =+5.0 D and 2 to <4 years, 4 to <6 years and > or =6 years, respectively, and the rates of successful stereoacuity at the final visit were 83.3%, 66.7%, 61.9% (p = 0.362) and 71.4%, 75.0% and 54.5% (p = 0.334), respectively. CONCLUSIONS: The amblyopia at the initial examination was significantly associated with the outcome of stereoacuity at the final visit in patients with refractive accommodative esotropia.
