CLINICAL CHARACTERISTICS OF PARTIALLY ACCOMMODATIVE ESOTROPIA AND OUTCOME OF TREATMENT

Thị Hồng Ngọc Nguyễn1,, Đức Anh Nguyễn2, Văn Huy Nguyễn3
1 Hanoi medical university
2 Hanoi eye hospital
3 National Institute of Ophthalmology

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Abstract

Purpose: Evaluation of clinical characteristics of partially accommodative esotropia and outcome of treatment. Methods: Cross-sectional descriptive study in 30patients with partially accommodative esotropia seen at the Naional institute of Ophthamology during July 2020 to May 2022. Results: Averageage of development of partially accommodative esotropia was 2,5years, average amount of hypermetropia was + 4,10D, amblyopia percentage was 86,7%. Visual acuity and binocular vision were improved with hypermetropic correction and amblyopia treatment (only 32.9%, stable strabismus after wearing glasses. Residual strabismus surgery after refractive correction achieved good results with average strabismus when wearing glasses of 3.03 PD. Conclusion:The majority of hypermetropica ccommodation esotropia develops  at an early age with high hypermetropia and amblyopia. Early treatment with hypermetropic correction and treatment of amblyopia improve visual function and binocular balance.

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References

1. Long-term surgical outcomes of preoperative prism adaptation in patients with partially accommodative esotropia - PubMed. Accessed September 19, 2022. https://pubmed.ncbi.nlm.nih.gov/32678351/
2. Chun BY, Kwon SJ, Chae SH, Kwon JY. Reduction of Deviation Angle During Occlusion Therapy: In Partially Accommodative Esotropia with Moderate Amblyopia. Korean J Ophthalmol. 2007;21(3):159-162. doi:10.3341/kjo.2007.21.3.159
3. Choe HR, Yang HK, Hwang JM. Long-term outcomes of prismatic correction in partially accommodative esotropia. PLoS One. 2019;14(12):e0225654. doi:10.1371/journal.pone.0225654
4. Oh SY, Lee JY, Park KA, Oh SY. Long-Term Changes in Refractive Error and Clinical Evaluation in Partially Accommodative Esotropia after Surgery. PLoS One. 2016;11(12):e0166695. doi:10.1371/journal.pone.0166695
5. Risk factors for accommodative esotropia among hypermetropic children - PubMed. Accessed September 19, 2022. https://pubmed.ncbi.nlm.nih.gov/15671278/
6. Outcome in refractive accommodative esotropia - PMC. Accessed September 19, 2022. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1723536/
7. Long-term surgical outcome of partially accommodative esotropia - PubMed. Accessed September 19, 2022. https:// pubmed.ncbi.nlm.nih.gov/21149060/
8. Kurup SP, Barto HW, Myung G, Mets MB. Stereoacuity outcomes following surgical correction of the nonaccommodative component in partially accommodative esotropia. J AAPOS. 2018; 22(2):92-96. doi:10.1016/ j.jaapos.2017.12.003