TITLE

Use of atropine to predict the accommodative component in esotropia with hypermetropia

AUTHOR(S)
Kothari, Mihir; Manurung, Florence; Paralkar, Shalaka
PUB. DATE
November 2011
SOURCE
Indian Journal of Ophthalmology;Nov2011, Vol. 59 Issue 6, p487
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
This cohort study included children with esotropia and hypermetropia of = +2.0 diopters (D). The deviation was measured at presentation, under atropine cycloplegia and 3 months aft er full refractive correction. Of 44 children with a mean age of 5.2 ± 2.4 years, 25 were males. Eighteen (41%) had fully refractive accommodative esotropia (RAE), 10 (23%) had partial accommodative esotropia (PAE), and 5 (11%) had nonaccommodative esotropia (NAE). Eleven (25%) had convergence excess (CE). Under cycloplegia, all with RAE and RAE with CE had orthotropia. There was no signifi cant change in the deviation in the patients with NAE. The deviation under cycloplegia and that with full refractive correction in PAE and PAE with CE (with +3.0 D addition) were not diff erent. The intraclass correlation coeffi cient for deviation under cycloplegia and aft er full refractive correction (+3.0 D addition for CE) was 0.89. It was concluded that ocular deviation under cycloplegia can help to predict the accommodative component in esotropia with hypermetropia.
ACCESSION #
67520117

 

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