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Hypermetropia in accommodative esodeviation.

E L Raab

    Journal of Pediatric Ophthalmology and Strabismus
    |September 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Childhood hypermetropia typically increases until age seven and then decreases. In children with accommodative esodeviation, hypermetropia changes similarly, not accelerating as previously thought.

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    Area of Science:

    • Ophthalmology
    • Pediatric Ophthalmology
    • Strabismus Research

    Background:

    • Childhood hypermetropia progression patterns are debated, particularly in cases of accommodative esodeviation.
    • Previous research suggests hypermetropia increases in early childhood and decreases later.
    • A clear understanding of hypermetropia changes in accommodative esodeviation is lacking.

    Purpose of the Study:

    • To investigate the longitudinal changes in hypermetropia in children with accommodative esodeviation.
    • To compare these changes with normative data from the general childhood population.
    • To determine if accelerated hypermetropia increase is characteristic of accommodative esodeviation.

    Main Methods:

    • A cohort of 68 subjects (136 eyes) with accommodative esodeviation was studied.

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  • Annual changes in refractive error (hypermetropia) were measured up to age 13.
  • Data were compared to a previously reported age-matched series without strabismus.

    • Main Results:

    • From birth to age 7, mean annual hypermetropia increase was +0.19 D in the study group, similar to the general population (+0.28 D).
    • Between ages 7 and 13, mean annual hypermetropia decrease was -0.18 D, closely matching the general population (-0.22 D).
    • Deterioration in accommodative deviation did not correlate with an accelerated rate of hypermetropia increase.

    Conclusions:

    • Hypermetropia progression in children with accommodative esodeviation follows a pattern similar to the general population.
    • An accelerated increase in hypermetropia is not a typical feature of controlled or deteriorated accommodative esodeviation.
    • These findings may help refine understanding and management of refractive errors in pediatric strabismus.