Refractive change in children with accommodative esotropia.
Br J Ophthalmol
; 104(9): 1283-1287, 2020 09.
Article
in En
| MEDLINE
| ID: mdl-31806647
ABSTRACT
OBJECTIVE:
To determine whether there is a measurable change in hyperopia in children with accommodative esotropia over time. METHODS ANDANALYSIS:
A retrospective cohort of children with fully or partially accommodative esotropia diagnosed by age 7 years, followed to age 10 or older, and with at least two cycloplegic refractions, one before age 7 years and one after age 10 years. The annual change was calculated from linear mixed-effect models, overall and during two age periods with subgroup analysis by baseline refractive error (<4D, ≥4D) and type (partial, full) of accommodative esotropia.RESULTS:
405 subjects were studied. Mean age at first and last visit was 3.2 and 12.1 years, respectively, with mean 7.6 cycloplegic refractions. The annual change (95% CI) in refractive error was -0.071 (-0.087 to -0.055) D/yr. Between ages 3 and 7, hyperopia among children with baseline hyperopia <4D increased by 0.12 (0.08 to 0.16) D/yr, while hyperopia among those with baseline 4D or greater was stable (0.0D/yr, -0.03 to 0.04) (p<0.001). Hyperopia decreased from age 7 to 15 years in both subgroups <4D subgroup -0.17 (-0.20 to -0.14) D/yr, ≥4D subgroup -0.18 (-0.21 to -0.15) D/yr (p=0.58). There was no significant difference in refractive change between fully (n=274) and partially (n=131) accommodative esotropia (p≥0.10).CONCLUSION:
Hyperopia in children with accommodative esotropia is stable or increases up to age 7 years, depending on baseline hyperopia, but decreases gradually between ages 7 and 15 years regardless of baseline refractive error.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Esotropia
/
Accommodation, Ocular
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Hyperopia
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Adolescent
/
Child
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Child, preschool
/
Female
/
Humans
/
Infant
/
Male
Language:
En
Journal:
Br J Ophthalmol
Year:
2020
Document type:
Article
Affiliation country:
United States