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Clinical Features of Children with +4.00 Diopters or More Hyperopia Weaning with Age
성장하면서 원시 감소가 나타난 +4.00디옵터 이상 원시 환아의 특징
JKOS 2019 Aug;60(8):773-9
Published online August 15, 2019;
Copyright © 2019 The Korean Ophthalmological Society.
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Seung Yeop Lee, MD, Aram Park, MD, Seung Ah Chung, MD, PhD
이승엽 · 박아람 · 정승아

Department of Ophthalmology, Ajou University School of Medicine, Suwon, Korea
아주대학교 의과대학 안과학교실
Received March 21, 2019; Revised April 15, 2019; Accepted July 18, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Purpose: To evaluate the clinical features of children with high hyperopia weaning with age.
Methods: The medical records of 203 children wearing spectacles due to hyperopia of +4.00 diopters (D) or greater in at least one eye based on the cycloplegic refraction and with follow-up for 3 years or more were reviewed. The patients were divided into those who showed a decrease in the spherical equivalent (SE) of 1.50 D or greater and those who maintained. The age of wearing spectacles, the magnitude of hyperopia, the angle of deviation, the ratio of accommodative-convergence to accommodation (AC/A), and the frequency of amblyopia and anisometropia were compared.
Results: Forty seven patients with decreased hyperopia and 156 patients with sustained hyperopia were included. The decreased- group started to wear spectacles later than the sustained-group (5.0 ± 2.3 years vs. 4.1 ± 2.4 years). The mean SE of the hyperopic eye in the decreased-group was significantly greater at the initial visit than in the sustained-group (6.29 ± 2.18 D vs. 5.47 ± 1.38 D); was identical at the 1 year follow-up (4.83 ± 1.72 D vs. 4.89 ± 1.55 D); and significantly lower at the last follow- up (3.15 ± 1.72 D vs. 4.65 ± 1.56 D). In the decreased-group, the mean hyperopia of 3.14 ± 2.02 D decreased during a mean period of 3.9 years, especially during the first year after spectacle correction. At baseline, the frequency and angle of esotropia at both distant and near with/without hyperopic correction was significantly larger in the sustained-group. The frequency of amblyopia and anisometropia and the AC/A were identical between the two groups, while the frequency of amblyopia at the last follow- up was significantly lower in the decreased-group.
Conclusions: Some patients with hyperopia of +4.00 D or greater who had none or a small angle of esotropia and improved amblyopia showed a decrease in hyperopia with age.
Keywords : Amblyopia, Emmetropia, Esotropia, Growth, High hyperopia


December 2019, 60 (12)