| Change of Refractive Error in Patients with Refractive Accommodative Esotropia. |
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Su Jin Lim, Se Youp Lee, Young Chun Lee |
1Department of Ophthalmology, College of Medicine, The Catholic University of Korea, Seoul, Korea. leeyc@cmc.cuk.ac.kr
2Department of Ophthalmology, Keimyung University School of Medicine, Daegu, Korea. |
| 굴절조절내사시 환자의 굴절력 변화 |
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임수진1,이세엽2,이영춘1 |
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Department of Ophthalmology, College of Medicine, The Catholic University of Korea1, Seoul, Korea Department of Ophthalmology, Keimyung University School of Medicine2, Daegu, Korea |
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Correspondence:
Su Jin Lim, M.D. |
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| Abstract |
PURPOSE
To evaluate the degree and change in refractive error and the relation of refractive error, the angle of deviation and amblyopia in patient with refractive accommodative esotropia. METHODS: Children with refractive accommodative esotropia were retrospectively included in the study. The factor studied were sex, age at the first visit, ocular alignment, refractive error and amblyopia. RESULTS: The average age at the first visit was 4.01+/-1.86 years. And, the average angle of esodeviation was 22.23+/-13.74PD for the near and 21.51+/-12.01PD for the distant. The average manifest and cycloplegic refraction measured at patient's first visit were +2.35+/-2.87D and +4.87+/-1.77D respectively. The difference between cycloplegic and manifest refraction decreased gradually. After 3 years, the average manifest and cycloplegic refraction were +3.42+/-1.80PD and +4.33+/-1.77D. The refractive error didn't significantly affect the degree of esodeviation (r=0.051). Twenty-three of patients were amblyopia. The refraction of amblyopic and non amblyopic patient was +5.07+/-1.85D and +4.50+/-2.47D, respectively. However, this difference was not statistically significant. CONCLUSIONS: Mean cycloplegic refraction decreased significantly over a 3-year period. After full correction with glasses, the difference between cycloplegic and manifest refraction decreased. The refractive error was not associated with the degree of deviation anlge, amblyopia occurrence and treatment success. |
| Key Words:
Refractive accommodative esotropia;Refractive change |
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