| 초진시 사시각에 따른 굴절조절내사시의 임상양상 |
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배소현, 최동규 |
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Department of Ophthalmology, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea |
| Clinical Features of Refractive Accommodative Esotropia According to the Initial Angle of Esodeviation |
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So Hyun Bae, Dong Gyu Choi |
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| Abstract |
Purpose
To evaluate clinical features in patients with refractive accommodative esotropia according to the initial angle of esodeviation Methods: A total of 52 patients enrolled in retrospective study of refractive accommodative esotropia had been followed for at least 1 year. Several clinical characteristics were evaluated including age at onset, age when spectacles prescribed, cycloplegic refraction, angle of deviation, presence of amblyopia, change of refractive error during the follow-up period. Each finding were analyzed according to initial angle of deviation Results: At initial visit, mean angle of esodeviation was 25.42 PD (10∼60 PD) at distance and 26.23 PD (10∼60 PD) at near fixation. Of 52 patients, 13 (25%) patients had esodeviation of ＜20 PD, 30 (57.7%) had ≥20 PD and ＜40 PD and 9 (17.3%) had ≥40 PD. The mean age at onset was 30.26 months (birth∼7.5 years). Age at onset was 48.00 months in patients with esodeviation of ＜20 PD, 27.45 months in ≥20 PD and ＜40 PD, 15.89 months in ≥40 PD. The more the angle of deviation increased, the earlier the refractive accommodative esotropia developed. After the mean follow-up period of 41.4 months, reduction of hyperopia was 0.47 D per year. There was no significant difference of annual reduction of hyperopia according to angle of deviation. Conclusions: The more the angle of deviation increased, the earlier the refractive accommodative esotropia developed. It might be considered in diagnosis and treating refractive accommodative esotropia. (Korean J Optom Vis Sci 2008;7(1):12-17) |
| Key Words:
Age at onset, Change of refractive error, Initial angle of esodeviation, Refractive accommodative esotropia |
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