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Related Experiment Videos

Accommodative esotropia long range follow-up.

K C Swan

    Ophthalmology
    |October 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Adults treated for childhood accommodative esotropia often retain hypermetropia and poor binocular vision. Many require glasses and surgery, highlighting long-term vision challenges.

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    Area of Science:

    • Ophthalmology
    • Pediatric Ophthalmology
    • Strabismus

    Background:

    • Accommodative esotropia in childhood frequently persists into adulthood.
    • Untreated or inadequately treated hypermetropia contributes to persistent visual deficits.
    • Stable binocular vision is often not achieved in these patients.

    Purpose of the Study:

    • To evaluate the long-term visual outcomes in adults treated for typical accommodative esotropia.
    • To assess the impact of hypermetropia and binocular vision status on adult visual function.
    • To determine the need for surgical intervention in adulthood.

    Main Methods:

    • Longitudinal follow-up of 39 adult patients treated for childhood accommodative esotropia.
    • Assessment of refractive error (hypermetropia), visual acuity, and binocular vision status.

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  • Analysis of treatment history, spectacle dependence, and surgical interventions.

    • Main Results:

    • Median adult hypermetropia stabilized at 4 diopters, with initial maximal values around 5.7 diopters.
    • Thirty-eight of 39 adults require full-time spectacle correction.
    • Only 10 patients achieved orthophoria and normal binocular vision; the rest had residual deviations, amblyopia, or anomalous correspondence.
    • 13 patients lacking normal fusion required surgery for esotropia or exotropia.

    Conclusions:

    • Childhood accommodative esotropia can lead to persistent hypermetropia and impaired binocular vision in adulthood.
    • Early treatment may improve outcomes, but many patients require ongoing management and spectacle correction.
    • Adults with residual deviations and poor binocular function have a higher likelihood of requiring strabismus surgery.