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The effects of partial and full correction of refractive errors on sensorial and motor outcomes in children with refractive accommodative esotropia

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Abstract

Purpose

To investigate the effects of partial and full correction of refractive errors on sensorial and motor outcomes in children with refractive accommodative esotropia (RAE).

Methods

The records of pediatric cases with full RAE were reviewed; their first and last sensorial and motor findings were evaluated in two groups, classified as partial (Group 1) and full correction (Group 2) of refractive errors.

Results

The mean age at first admission was 5.84 ± 3.62 years in Group 1 (n = 35) and 6.35 ± 3.26 years in Group 2 (n = 46) (p = 0.335). Mean change in best corrected visual acuity (BCVA) was 0.24 ± 0.17 logarithm of the minimum angle of resolution (logMAR) in Group 1 and 0.13 ± 0.16 logMAR in Group 2 (p = 0.001). Duration of deviation, baseline refraction and amount of reduced refraction showed significant effects on change in BCVA (p < 0.05). Significant correlation was determined between binocular vision (BOV), duration of deviation and uncorrected baseline amount of deviation (p < 0.05). The baseline BOV rates were significantly high in fully corrected Group 2, and also were found to have increased in Group 1 (p < 0.05). Change in refraction was − 0.09 ± 1.08 and + 0.35 ± 0.76 diopters in Groups 1 and 2, respectively (p = 0.005). Duration of deviation, baseline refraction and the amount of reduced refraction had significant effects on change in refraction (p < 0.05). Change in deviation without refractive correction was − 0.74 ± 7.22 prism diopters in Group 1 and − 3.24 ± 10.41 prism diopters in Group 2 (p = 0.472). Duration of follow-up and uncorrected baseline deviation showed significant effects on change in deviation (p < 0.05).

Conclusions

Although the BOV rates and BCVA were initially high in fully corrected patients, they finally improved significantly in both the fully and partially corrected patients. Full hypermetropic correction may also cause an increase in the refractive error with a possible negative effect on emmetropization. The negative effect of the duration of deviation on BOV and BCVA demonstrates the significance of early treatment in RAE cases.

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References

  1. Mohney BG (2007) Common forms of childhood strabismus in an incidence cohort. Am J Ophthalmol 144:465–467

    Article  PubMed  Google Scholar 

  2. Mulhivill A, MacCann A, Flitcroft I, O’Keefe M (2000) Outcome in refractive accommodative esotropia. Br J Opthalmol 84:746–749

    Article  Google Scholar 

  3. Noorden GK von, Campos EC (2002) Esodeviations. In: Binocular vision and ocular motility. Theory and management of strabismus, 6th ed. CV Mosby, St Louis, pp 311–355

  4. Raab EL (1982) Ethiologic factors in accommodative esodeviation. Trans Am Ophthalmol Soc 80:657–694

    CAS  PubMed  PubMed Central  Google Scholar 

  5. Park KA, Oh SY (2013) The effect of reducing hyperopic correction in patients with accommodative esotropia. J AAPOS 17:363–366

    Article  PubMed  Google Scholar 

  6. Uretmen O, Köse S, Oztaş Z, Egrilmez S (2007) Factors influencing stereoacuity in refractive accomodative esotropia. Can J Ophthalmol 42:600–604

    Article  PubMed  Google Scholar 

  7. Berk AT, Koçak N, Ellidokuz H (2004) Treatment outcomes in refractive accommodative esotropia. J AAPOS 8:384–388

    Article  PubMed  Google Scholar 

  8. Fawcett SL, Birch EE (2003) Risk factors for abnormal binocular vision after successful aligment of accommodative esotropia. J AAPOS 7:256–262

    Article  PubMed  Google Scholar 

  9. Guclu H, Gurlu VP, Ozal SA, Ozkurt ZG (2015) Prognostic factors for stereopsis in refractive accommodative esotropia. Pak J Med Sci 31:807–811

    PubMed  PubMed Central  Google Scholar 

  10. Cho YA, Yi S, Kim SW (2009) Clinical evaluation of cessation of hyperopia in 123 children with accommodative esotropia treated with glasses for best corrected vision. Acta Ophthalmol 87:532–537

    Article  PubMed  Google Scholar 

  11. Lambert SR, Lynn MJ (2006) Longitudinal changes in the spherical equivalent refractive error of children with accommodative esotropia. Br J Opthalmol 90:357–361

    Article  CAS  Google Scholar 

  12. Park KA, Oh SY (2016) Early alignment versus delayed alignment in patients with hyperopia and esotropia. J AAPOS 20:3–6

    Article  PubMed  Google Scholar 

  13. Wilson ME, Bluestein EC, Parks MM (1993) Binocularity in accommodative esotropia. J Pediatr Ophthalmol Strabismus 30:233–236

    CAS  PubMed  Google Scholar 

  14. Flitcroft DI (1998) A model of the contribution of oculomotor and optical factors to emmetropization and myopia. Vis Res 38:2869–2879

    Article  CAS  PubMed  Google Scholar 

  15. Ingram RM, Gill LE, Lambert TW (2000) Effect of spectacles on changes of spherical hypermetropia in infants who did, and did not, have strabismus. Br J Ophthalmol 84:324–326

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Park KA, Kim SA, Oh SY (2010) Long-term changes in refractive error in patients with accommodative esotropia. Ophthalmology 117(2196–2207):e1

    Google Scholar 

  17. Hutcheson KA, Ellish NJ, Lambert SR (2003) Weaning children with accommodative esotropia out of spectacles: a pilot study. Br J Ophthalmol 87:4–7

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Cho YA, Ryu WY (2015) Changes in refractive error in patients with accommodative esotropia after being weaned from hyperopic correction. Br J Ophthalmol 99:680–684

    Article  PubMed  Google Scholar 

  19. Yang HK, Choi JY, Kim DH, Hwang JM (2014) Changes in refractive errors related to spectacle correction of hyperopia. PLoS ONE 9:e110663. https://doi.org/10.1371/journal.pone.0110663

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Demirkılınç Biler E, Üretmen Ö, Köse S (2010) The effect of optical correction on refractive development in children with accommodative esotropia. J AAPOS 14:305–310

    Article  PubMed  Google Scholar 

  21. Lambert SR, Lynn M, Sramek J, Hutcheson KA (2003) Clinical features predictive of successfully weaning from spectacles those children with accommodative esotropia. J AAPOS 7:7–13

    Article  PubMed  Google Scholar 

  22. MacEwen CJ, Lymburn EG, Ho WO (2008) Is the maximum hypermetropic correction necessary in children with fully accommodative esotropia? Br J Ophthalmol 92:1329–1332

    Article  CAS  PubMed  Google Scholar 

  23. Kim WJ, Kim MM (2014) Accommodative esotropia who needs spectacles for good ocular alignment after refractive shift below +2.00 diopters. Korean J Ophthalmol 28:417–422

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Department of Ophthalmology, Başkent University Hospital, Çiğli, İzmir, Turkey

    Nazife Sefi-Yurdakul

  2. Bitlis State Hospital, Bitlis, Turkey

    Hüseyin Kaykısız

  3. Atatürk Education and Research Hospital, İzmir, Turkey

    Feray Koç

Authors
  1. Nazife Sefi-Yurdakul
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  2. Hüseyin Kaykısız
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  3. Feray Koç
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Correspondence to Nazife Sefi-Yurdakul.

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All authors have no affiliations with or involvement in any organization or entity with any financial interest in the subject matter or materials discussed in this manuscript.

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The present study was carried out in accordance with the Helsinki Declaration Principles, after obtaining the approval of the institutional ethics committee.

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For this type of study, formal consent is not required.

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Sefi-Yurdakul, N., Kaykısız, H. & Koç, F. The effects of partial and full correction of refractive errors on sensorial and motor outcomes in children with refractive accommodative esotropia. Int Ophthalmol 39, 883–890 (2019). https://doi.org/10.1007/s10792-018-0889-z

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  • DOI: https://doi.org/10.1007/s10792-018-0889-z

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