Ophthalmology Department, Ankara Atatürk Education and Research Hospital, Ankara Yıldırım Beyazıt University Medical Faculty, Ankara, Turkey.
Arq Bras Oftalmol. 2021 Mar-Apr;84(2):128-132. doi: 10.5935/0004-2749.20210020.
To evaluate the relationship of changes in hypermetropia and ocular alignment in patients with accommodative esotropia.
The medical records of consecutive patients diagnosed with refractive accommodative esotropia (esotropia eliminated or decreased to within 10 D with full hyperopic correction) were retrospectively reviewed. Cycloplegic refractions culled from medical records were converted into spherical equivalents. Presence of amblyopia, changes in refractive error and ocular alignment at admission and after the follow-up period were evaluated.
Seventy patients (mean age: 6.01 ± 5.41 years; female: 60.6%; mean follow-up: 5.8 ± 3 years) had corrected esotropia of 40 ± 20 prismatic diopters at admission. The average decrease per year in near and distance deviations with glasses was 1.71 ± 3.96 prismatic diopters/year and 1.09 ± 3.25 prismatic diopters/year, respectively. The total myopic shift of the right and left eyes was 1.08 ± 1.35 D and 1.20 ± 1.40 D, respectively. Myopic shift/year was 0.22 D/year and 0.26 D/year, respectively. The correlation between the rate of myopic shift and rate of change in corrected near deviation was weak. The correlation for the rate of myopic shift was not high for the right and left eyes (r=0.18; p=0.15).
The amount of deviation and hypermetropia gradually decreased in accommodative esotropia during follow-up. On the other hand, it may be incorrect to assure patients that the amount of deviation will decrease in parallel with the refractive error.
评估远视变化与调节性内斜视患者眼位关系。
回顾性分析连续诊断为屈光性调节性内斜视（内斜视在完全远视矫正下消除或减少至 10D 以内）患者的病历。从病历中挑选的睫状肌麻痹验光结果转换为球镜等效值。评估入院时和随访期间弱视、屈光不正和眼位变化情况。
70 例患者（平均年龄：6.01±5.41 岁；女性：60.6%；平均随访：5.8±3 年）入院时矫正内斜视 40±20 棱镜度。每年远视镜下近距和远距偏差的平均减少量分别为 1.71±3.96 棱镜度/年和 1.09±3.25 棱镜度/年。右眼和左眼的总近视漂移量分别为 1.08±1.35D 和 1.20±1.40D。每年的近视漂移量分别为 0.22D/年和 0.26D/年。近视漂移率与矫正近距偏差变化率之间的相关性较弱。右眼和左眼的近视漂移率相关性不高（r=0.18；p=0.15）。
在随访过程中，调节性内斜视的斜视量和远视逐渐减少。另一方面，向患者保证斜视量将与屈光不正平行减少可能是不正确的。
