Effect of Full Correction and Undercorrection on Changes in Refractive Error in Accommodative Esotropia

  • Tokutake Tomoki
    Department of Ophthalmology, Kawasaki Medical School, General Medical Center
  • Hasebe Kayoko
    Department of Ophthalmology, Kawasaki Medical School, General Medical Center
  • Imai Toshihiro
    Department of Ophthalmology, Kawasaki Medical School, General Medical Center
  • Nagata Yuka
    Department of Ophthalmology, Kawasaki Medical School, General Medical Center
  • Moriyama Yumiko
    Department of Ophthalmology, Kawasaki Medical School, General Medical Center
  • Morisawa Shin
    Department of Ophthalmology, Kawasaki Medical School, General Medical Center Department of Ophthalmology 2, Kawasaki Medical School
  • Kobashi Rie
    Department of Ophthalmology, Kawasaki Medical School, General Medical Center Department of Ophthalmology 2, Kawasaki Medical School
  • Furuse Takashi
    Department of Ophthalmology, Kawasaki Medical School, General Medical Center Department of Ophthalmology 2, Kawasaki Medical School
  • Hasebe Satoshi
    Department of Ophthalmology, Kawasaki Medical School, General Medical Center Department of Ophthalmology 2, Kawasaki Medical School

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Other Title
  • 調節性内斜視に対する屈折矯正状態が屈折度の変化に及ぼす影響について

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Abstract

<p>[Purpose] To investigate the effect of refractive corrections including full correction and undercorrection on changes in refractive error in accommodative esotropia. We also investigated other factors that influenced the refractive changes.</p><p>[Subjects and Methods] Subjects included 41 children with accommodative esotropia who were available to be followed up for at least two years (average age, 4.2 years; mean follow-up period, 5.3 years). Based on the prescription power for cycloplegic refraction, we classified the subjects into full correction and undercorrection groups (Spherical value of 0.50-1.00 D was defined as undercorrection). Refractive changes were determined as the difference when subtracting the refractive error at the last examination from the refractive error at the initial visit. We also investigated whether difference in refractive correction (full/under corrections), the age at the initial visit, the initial refractive error, (the length of) the follow-up period, presence of amblyopia, and the alignment at refractive correction influenced the refractive changes. </p><p>[Results] The annual refractive changes in the full correction (n = 28) and undercorrection (n = 13) groups were +0.09 D and +0.11 D, respectively and no significant difference was observed between the two groups. Multiple regression analysis showed that the age at the initial visit and the initial refractive error significantly correlated with the annual refractive changes. The annual refractive changes between both groups that the difference in refractive correction adjusted for confounding factors were no significant difference.</p><p>[Conclusion] In patients with accommodative esotropia, full correction or undercorrection did not appear to affect patient's refractive changes. The factors that influenced the refractive changes were the age at the initial visit and the initial refractive error.</p>

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