Esotropia with an accommodative component after surgery for infantile esotropia compared to primary accommodative...

Area of Science:

• Ophthalmology
• Pediatric Ophthalmology
• Strabismus Research

Background:

• Infantile esotropia surgery aims to correct eye alignment.
• Primary refractive accommodative esotropia is managed with glasses.
• Understanding long-term outcomes is crucial for patient management.

Purpose of the Study:

• To compare clinical outcomes between patients with esotropia after infantile esotropia surgery (secondary group) and primary refractive accommodative esotropia (primary group).
• To analyze changes in ocular alignment, refractive error, and sensory outcomes over time.

Main Methods:

• Retrospective review of medical records for both patient groups.
• Comparison of ocular deviation changes, refractive error progression, decompensation rates, and sensory outcomes.
• Statistical analysis to determine significant differences between groups.

Main Results:

• The secondary group showed a greater annual change in ocular deviation (-0.5Δ/year) compared to the primary group (-0.2Δ/year).
• Refractive error changed more in the secondary group (-0.2 D/year) than the primary group (-0.3 D/year).
• Stereoacuity was poorer in the secondary group, but decompensation and weaning rates were similar between groups.

Conclusions:

• Long-term changes in refractive error and esotropia differ between post-surgery and primary refractive accommodative esotropia.
• Despite poorer stereoacuity, most patients in the secondary group achieved good ocular alignment control with hyperopic correction.