Original Paper · Travail original · Originalarbeit

Changes in Deviation following Correction of Hyperopia in Children with Fully Refractive Accommodative Esotropia
Konomi Watanabe-Numata, Seiji Hayasaka, Kazuhiko Watanabe, Yoriko Hayasaka, Chiharu Kadoi

Department of Ophthalmology, Toyama Medical and Pharmaceutical University, Toyama, Japan

Address of Corresponding Author

Ophthalmologica 2000;214:309-311 (DOI: 10.1159/000027511)

  Key Words

• Fully refractive accommodative esotropia
• Changes in deviation
• Correction of hyperopia

  Abstract

Changes in deviation may occur following the correction of hyperopia in children with accommodative esotropia. We analyzed possible factors involving the development of changes in deviation. We examined 49 children (23 boys and 26 girls) who had fully refractive accommodative esotropia at the age of 3 or 4 years. All children wore glasses to correct the fully cycloplegic refractive errors. At the age of 10 or 11 years, 28 (57.1%) of these children had good alignment, 12 (24.5%) developed partial accommodative esotropia and 9 (18.4%) developed consecutive exotropia. The age at onset of esotropia, age at initial visit, and refraction, deviation and presence of stereopsis, as determined by the Titmus test using a fly at the initial visit, were similar among the three groups. In the consecutive exotropia group, amblyopia at the initial visit was significantly higher (89%) than that of the good alignment group (50%). The age at the start of the correction, and the refraction, amblyopia and presence of fusion (10 or 11 years) were almost equal among the three groups. We conclude that some children with fully refractive accommodative esotropia associated with amblyopia at the age of 3 or 4 years may be predisposed to developing consecutive exotropia.

Copyright © 2000 S. Karger AG, Basel

  Author Contacts

Konomi Watanabe-Numata, MD
Division of Ophthalmology, Asahi General Hospital
477 Tomari, Asahimachi, Toyama, 939-0798 (Japan)
Tel. + 81 765 83 1160, Fax +81 765 82 0401

  Article Information

Number of Print Pages : 3
Number of Figures : 0, Number of Tables : 1, Number of References : 4