Journal of the Korean Ophthalmological Society 2007;48(2):315-320.
Published online February 28, 2007.
Five-Year Follow-up Results of Refractive Accommodative Esotropia.
Dong Ju Kim, Bo Young Chun, Jung Yoon Kwon
Department of Ophthalmology, Kyungpook National University College of Medicine, Daegu, Korea. jykwon@mail.knu.ac.kr
굴절조절내사시에 대한 5년간의 경과관찰결과
김동주,전보영,권정윤
Department of Ophthalmology, Kyungpook National University College of Medicine, Daegu, Korea
Correspondence:  Dong Ju Kim, M.D.
Abstract
PURPOSE
To evaluate the clinical characteristics of refractive accommodative esotropia followed up for 5 years. METHODS: Forty-three subjects with refractive accommodative esotropia, who had been followed up for at least 5 years were included in this study. Age and sex distribution, age at onset and the interval between onset of esotropia and initial visit were evaluated. Changes of the angle of deviation and the amount of hyperopia during follow-up period were analyzed. RESULTS: The initial amount of hyperopia of 4.42+/-3.27D was decreased to 3.84+/-3.46D by the last exam. The average rate of hyperopia decrease per year was 0.12 diopters. The average angles of deviation at the initial and final exam were 31.74+/-13.72PD and 30.11+/-14.27PD, respectively. Among the 43 subjects who participated in this study, decompensation occurred in 2 patients in the third year and 1 patient in the fourth year. CONCLUSIONS: There is a tendency for the amount of hyperopia to decrease over time. Further, deviation may deteriorate over time as well. Thus, long term follow-up management is necessary to control deviation in patients with refractive accommodative esotropia.
Key Words: Decompensation;Refractive accommodative esotropia;Refractive error changes


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