Inatomi A
Department of Ophthalmology, Shiga University of Medical Science, School of Medicine, Japan.
Graefes Arch Clin Exp Ophthalmol. 1988;226(2):165-7. doi: 10.1007/BF02173309.
Typical (refractive) accommodative esotropia is a form of acquired esotropia caused primarily by hypermetropia; correction of the hypermetropic refractive error with convex lenses generally leads to rehabilitation. A significant number of cases clinically diagnosed as typical accommodative esotropia do not, however, respond satisfactorily to this form of treatment, suggesting the presence of nonrefractive etiological factors. Fifty cases diagnosed by conventional methods as typical accommodative esotropia were examined with the fundus haploscope; abnormal or subnormal retinal correspondence was discovered in nearly 50% of the total. Congenital elements are thought to play a contributory role in these cases.
典型（屈光性）调节性内斜视是一种主要由远视引起的后天性内斜视；用凸透镜矫正远视屈光不正通常可使病情恢复。然而，临床上大量被诊断为典型调节性内斜视的病例对这种治疗方式反应并不理想，这表明存在非屈光性病因。用检眼镜对50例经传统方法诊断为典型调节性内斜视的病例进行了检查；在全部病例中，近50%发现有异常或低于正常的视网膜对应。先天性因素被认为在这些病例中起了一定作用。
