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Visual outcome in high hypermetropia.

P M Edelman1, M S Borchert

  • 1Diviison of Ophthalmology, Children's Hospital, Los Angeles, CA 90027, USA.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|October 26, 1999
PubMed
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Good visual acuity is common in children with high hypermetropia, irrespective of when they receive glasses or if they have strabismus. Early optical correction and strabismus management do not significantly impact final visual outcomes.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Vision Science

Background:

  • Bilateral high hypermetropia (≥5D) in children can impact visual development.
  • The influence of age at correction and strabismus on visual acuity outcomes is not fully understood.

Purpose of the Study:

  • To investigate the relationship between age at optical correction and final visual acuity in children with bilateral high hypermetropia.
  • To determine if the presence of esotropia affects visual acuity outcomes in this patient group.

Main Methods:

  • Retrospective chart review of patients with bilateral high hypermetropia (≥5D) at Childrens Hospital Los Angeles.
  • Analysis of objective visual acuity outcomes using Snellen letters or linear E post-optical correction.

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Main Results:

  • 113 patients were included; age at correction ranged from 8 to 141 months.
  • 96% achieved final visual acuity ≥20/40, and 92% achieved ≥20/30.
  • No significant correlation was found between age at spectacle wear and final visual acuity; strabismus presence did not significantly alter outcomes.

Conclusions:

  • Final visual acuity in children with high hypermetropia is generally favorable, independent of correction timing or strabismus.
  • Ametropic amblyopia risk was not significantly elevated in patients with orthotropia compared to those with esotropia.