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

Kothari, Mihir; Manurung, Florence; Paralkar, Shalaka
November 2011
Indian Journal of Ophthalmology;Nov2011, Vol. 59 Issue 6, p487
Academic Journal
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.


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