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The deterioration of refractive accommodative esotropia
Y Jianhua1, Y Shaomei, W Yimin
1Zhongshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou 510060, China.
Purpose:
To discuss the prevalence of deterioration and factors which may influence deterioration.
Methods:
Records of 137 patients with the diagnosis of refractive accommodative esotropia who were followed for a period of at least 5 years were reviewed.
Results:
Twenty-three of the 137 patients (16.8%) deteriorated. Deterioration was most likely to occur in patients with a breakdown of the sensory status, or where anti-accommodative therapy was delayed. The age of onset, refractive status, and VA difference between two eyes were not etiologic factors in the process of deterioration.
Conclusions:
We think that early diagnosis of accommodative esotropia, timely prescription of optical correction and maintenance of binocularity play an important role in preventing deterioration from occurring.