Song Ji Eun, Han Hyo Ji, Choi Chul Young, Khoramnia Ramin, Chang Hae Ran, Han So Young
Department of Ophthalmology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul 03181, Korea.
The David J. Apple International Laboratory for Ocular Pathology and International Vision Correction Research Centre (IVCRC), Department of Ophthalmology, University of Heidelberg, 69120 Heidelberg, Germany.
Diagnostics (Basel). 2021 Aug 26;11(9):1547. doi: 10.3390/diagnostics11091547.
We investigated longitudinal changes in the spherical equivalent refractive error (SE) in hyperopic children with or without refractive accommodative esotropia (AccET). A total of 456 patients met the inclusion criteria: 190 (41.7%) in the hyperopic control group and 266 (58.3%) in the AccET group. All patients received at least 3 years of follow-up after spectacle prescription. Subgroups were divided according to age when spectacles were prescribed, presence of amblyopia, or initial SE. Longitudinal changes in SE in children with hyperopia showed a gradual decrease, although SE of younger children with AccET increased over the first 4 years and then decreased thereafter. SE in eye with higher SE was tended to decrease significantly in patient with Acc ET than hyperopic control group (group × time = 0.015). Amblyopic eyes showed a greater decreased in SE compared with non-amblyopic eyes, but it was not statistically significant ( = 0.07). SE was significantly decreased in children with more hyperopia (≥ 3 D) compared with children with less hyperopia (<3 D) ( = 0.008). Emmetropization of hyperopia was faster in hyperopic patients without AccET and could be affected by the age of the initial spectacles prescription, initial amount of SE, or presence of amblyopia.
我们研究了患有或不患有屈光性调节性内斜视（AccET）的远视儿童等效球镜度（SE）的纵向变化。共有456例患者符合纳入标准：远视对照组190例（41.7%），AccET组266例（58.3%）。所有患者在配镜后均接受了至少3年的随访。根据配镜时的年龄、弱视的存在情况或初始SE进行亚组划分。远视儿童的SE纵向变化呈逐渐下降趋势，尽管患有AccET的年幼儿童的SE在最初4年增加，此后下降。与远视对照组相比，患有AccET的患者中较高SE眼的SE下降更显著（组×时间 = 0.015）。弱视眼的SE下降幅度大于非弱视眼，但差异无统计学意义（ = 0.07）。与远视程度较轻（<3 D）的儿童相比，远视程度较重（≥ 3 D）的儿童的SE显著下降（ = 0.008）。没有AccET的远视患者的远视正视化更快，并且可能受到初始配镜年龄、初始SE量或弱视存在情况的影响。
