Mohan Kanwar, Sharma Ashok
Squint Centre, Chandigarh, India.
Cornea Centre, Chandigarh, India.
J AAPOS. 2014 Jun;18(3):261-5. doi: 10.1016/j.jaapos.2014.01.018.
To report the long-term ocular alignment outcomes of patients with accommodative esotropia.
The medical records of consecutive patients ≤12 year of age diagnosed with refractive accommodative esotropia (esotropia eliminated or decreased to within 10(Δ) with full hyperopic correction) and followed for at least 10 years were retrospectively reviewed.
A total of 107 patients were included (mean age, 4.81 ± 2.64 years). The mean follow-up period was 12.02 ± 2.25 years (range, 10-21 years). At the first examination performed 10 years after spectacle correction (mean, 10.2 years), 85 patients (79%) had orthophoria or esotropia ≤10(Δ) at both near and distance fixation, 14 (13%) had consecutive exotropia, 5 (5%) had decompensation and 3 (3%) had esotropia with a high ratio of accommodative convergence to accommodation (AC/A). The mean time interval between presentation and prescription of full hyperopic correction, initial cycloplegic refraction, and presence of amblyopia was not associated with consecutive exotropia, decompensation, or a high AC/A ratio esotropia.
Whereas most patients with refractive accommodative esotropia maintained normal long-term ocular motility with spectacle treatment, some developed consecutive exotropia, nonaccommodative esotropia, or esotropia with a high AC/A ratio.
报告调节性内斜视患者的长期眼位矫正结果。
回顾性分析年龄≤12岁、诊断为屈光性调节性内斜视（完全矫正远视后内斜视消失或减少至10棱镜度以内）且随访至少10年的连续患者的病历。
共纳入107例患者（平均年龄4.81±2.64岁）。平均随访时间为12.02±2.25年（范围10 - 21年）。在配镜矫正10年后（平均10.2年）进行的首次检查中，85例患者（79%）在近距和远距注视时均为正位或内斜视≤10棱镜度，14例（13%）发生连续性外斜视，5例（5%）出现失代偿，3例（3%）为调节性集合与调节之比（AC/A）高的内斜视。就诊与完全矫正远视配镜、初始睫状肌麻痹验光以及弱视的存在之间的平均时间间隔与连续性外斜视、失代偿或AC/A比值高的内斜视无关。
虽然大多数屈光性调节性内斜视患者通过配镜治疗可长期维持正常眼动，但部分患者会发展为连续性外斜视、非调节性内斜视或AC/A比值高的内斜视。
