Accommodative esotropia: An outcome analysis from a tertiary center in Oman

Area of Science:

• Ophthalmology
• Pediatric Ophthalmology
• Strabismus

Background:

• Accommodative esotropia (ET) is a common form of strabismus in children.
• Understanding the long-term outcomes and influencing factors is crucial for effective management.

Purpose of the Study:

• To determine the outcome of accommodative esotropia (ET) in young Omani children.
• To identify factors influencing the condition's progression and management.

Main Methods:

• Retrospective cohort study of 51 children diagnosed with accommodative ET.
• Analysis of cycloplegic refraction, ocular alignment, binocularity, visual acuity (VA), amblyopia, and need for surgery.
• Follow-up duration averaged 4.9 years.

Main Results:

• Significant reduction in amblyopia (43% to 6%) and improved binocularity (75%) observed.
• Mean cycloplegic refraction increased by 0.64 D (P=0.005).
• Partially accommodative ET (PAET) patients showed delayed reporting, anisometropia, and lower hypermetropia; 37% required surgery.

Conclusions:

• Children with refractive accommodative ET generally have excellent visual acuity and binocular vision outcomes.
• PAET is associated with specific clinical characteristics and may require surgical intervention.
• Further research is needed on discontinuing glasses in fully accommodative ET (FAET) cases.