Occurrence and Risk Factors of Decompensation and Additional Treatment in Refractive Accommodative Esotropia.
- Author:
Kyoung Sub CHOI
1
;
Jee Ho CHANG
;
Yoon Hee CHANG
;
Jong Bok LEE
Author Information
1. The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. 491209@yumc.yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
Additional treatment;
Decompensation;
Refractive accommodative esotropia
- MeSH:
Child;
Esotropia*;
Follow-Up Studies;
Humans;
Hyperopia;
Refractive Errors;
Risk Factors*
- From:Journal of the Korean Ophthalmological Society
2006;47(1):121-126
- CountryRepublic of Korea
- Language:Korean
-
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.
