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Consecutive exotropia after correction of hyperopia

R Beneish, F Williams, R C Polomeno

    Canadian Journal of Ophthalmology. Journal Canadien D'Ophtalmologie
    |January 1, 1981
    PubMed
    Summary
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    Early hyperopia correction in children can lead to exotropia. Reducing hyperopia by 50-60% effectively realigns eyes and restores some binocularity.

    Area of Science:

    • Ophthalmology
    • Pediatric Ophthalmology
    • Strabismus

    Background:

    • Accommodative esotropia is a common condition in children with hyperopia.
    • Surgical correction of esotropia can sometimes lead to secondary eye alignment issues.
    • Uncorrected hyperopia can predispose children to developing esotropia.

    Purpose of the Study:

    • To investigate the development of exotropia after non-surgical correction of hyperopia in children with accommodative esotropia.
    • To determine the efficacy of hyperopia reduction in managing post-correction exotropia.

    Main Methods:

    • A cohort of 22 children with esotropia and hyperopia was studied.
    • Hyperopia was corrected non-surgically.
    • The degree of hyperopia reduction was varied between 50% and 60%.

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    Main Results:

    • Exotropia developed in 22 children following hyperopia correction for accommodative esotropia.
    • Early onset of esotropia and high hyperopia were identified as predisposing factors for exotropia.
    • A 50% to 60% reduction in hyperopia led to satisfactory eye realignment and partial binocularity.

    Conclusions:

    • Non-surgical correction of hyperopia in children with accommodative esotropia can lead to secondary exotropia.
    • Gradual reduction of hyperopia is an effective strategy for managing this induced exotropia.
    • Early intervention and careful management of hyperopia are crucial in pediatric strabismus cases.