Refractive change in children with accommodative esotropia.

Publication/Presentation Date

9-1-2020

Abstract

OBJECTIVE: To determine whether there is a measurable change in hyperopia in children with accommodative esotropia over time.

METHODS AND ANALYSIS: 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.

Volume

104

Issue

9

First Page

1283

Last Page

1287

ISSN

1468-2079

Disciplines

Medicine and Health Sciences | Pediatrics

PubMedID

31806647

Department(s)

Department of Pediatrics

Document Type

Article

Link to Full Text

Share

COinS