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

Nazife Sefi-Yurdakul1, Hüseyin Kaykısız2, Feray Koç3

  • 1Department of Ophthalmology, Başkent University Hospital, Çiğli, İzmir, Turkey. nsefi@yahoo.com.

International Ophthalmology
|March 18, 2018
PubMed

Insights

Both partial and full correction of refractive errors improved visual acuity and binocular vision in children with refractive accommodative esotropia (RAE). Early treatment is crucial for better outcomes in RAE.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Strabismus

Background:

  • Refractive accommodative esotropia (RAE) is a common form of strabismus in children.
  • Correction of refractive errors is a primary treatment for RAE.
  • The impact of partial versus full correction on visual and motor outcomes requires further investigation.

Purpose of the Study:

  • To compare the effects of partial and full correction of refractive errors on sensorial and motor outcomes in children diagnosed with RAE.

Main Methods:

  • Retrospective review of pediatric RAE cases.
  • Classification into partial (Group 1) and full correction (Group 2) groups.
  • Evaluation of initial and final sensorial (visual acuity) and motor (deviation) findings.

Main Results:

  • Both groups showed significant improvement in best-corrected visual acuity (BCVA) and binocular vision (BOV).
  • Full correction showed a trend towards better BCVA improvement, while partial correction had a significant effect on refractive error change.
  • Duration of deviation negatively impacted BOV and BCVA, highlighting the importance of early intervention.

Conclusions:

  • Both partial and full correction of refractive errors lead to significant improvements in visual acuity and binocular vision in RAE patients.
  • Full hypermetropic correction may potentially impact emmetropization, warranting careful monitoring.
  • Early treatment of RAE is essential due to the detrimental effect of prolonged deviation on visual outcomes.
Abstract

Keywords:
Binocular visionEmmetropizationHypermetropiaRefractive accommodative esotropia

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