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Prismatic correction of residual esotropia of 20 prism dioptres or less after full hypermetropic correction

Cited 6 time in Web of Science Cited 9 time in Scopus
Authors
Han, S. B.; Hwang, J-M
Issue Date
2009-11
Publisher
NATURE PUBLISHING GROUP
Citation
EYE; Vol.23 11; 2052-2055
Keywords
amblyopiastereopsisfusionpartially accommodative esotropiabinocularityprismatic correction
Abstract
Purpose To assess the efficacy of prismatic correction of residual esotropia <= 20 prism dioptres (PD) after full hypermetropic correction in patients with partially accommodative esotropia. Methods Medical records of 64 patients who received prismatic correction for residual esotropia <= 20 PD were reviewed. Outcomes were considered successful if patients maintained orthotropia or esophoria for at least 1 year and did not require surgery. Factors including age, sex, visual acuity, refractive errors, amount of deviation, sensory status, and the presence of amblyopia were analysed and compared between the success and failure groups. Results Prismatic correction was successful in 28 of 64 patients (44%). The success group showed better results both with Worth 4-dot test (P = 0.001 at distance and P = 0.046 at near) and Randot stereo test (P = 0.003 for dots and P = 0.000 for animals). Success rate increased to 58% without amblyopia, 72 and 93% with normal fusional response at near and at distance with Worth 4 dot test respectively, and 92% with stereoacuity of 800 s of arc or better. In all patients in success group, fusion and stereoacuity improved or maintained during follow-up. Conclusions Prismatic correction was successful in 44% of the patients with residual esotropia <= 20 PD and the success group showed an improved or stable sensory status with time. With a baseline fusion on Worth 4-dot test or stereopsis of 800 s of arc or better, prismatic correction could be considered as the first-line treatment. Eye (2009) 23, 2052-2055; doi:10.1038/eye.2008.424; published online 30 January 2009
ISSN
0950-222X
Language
English
URI
https://hdl.handle.net/10371/77944
DOI
https://doi.org/10.1038/eye.2008.424
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College of Medicine/School of Medicine (의과대학/대학원)Ophthalmology (안과학전공)Journal Papers (저널논문_안과학전공)
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