| Popis: |
Teiji Yagasaki,1,2 Yoshimi Yokoyama,2 Ayaka Yagasaki,1,2 Kenta Hozumi,2 Sho Ichikawa2,3 1Yagasaki Eye Clinic, Ichinomiya, Aichi, Japan; 2Department of Ophthalmology, Japan Community Health Care Organization Chukyo Hospital, Nagoya, Aichi, Japan; 3Chukyo Eye Clinic, Nagoya, Aichi, JapanCorrespondence: Teiji Yagasaki, Email y-teiji@jb3.so-net.ne.jpPurpose: Favorable stereoacuity does not develop in all patients with partially refractive accommodative esotropia (PRAET) successfully aligned, and there have been few previous reports on the factors influencing stereoacuity outcomes in patients with PRAET treated with prismatic correction (PPC) and/or surgery. This study aimed to analyze factors affecting stereoacuity outcomes in patients of PRAET treated with PPC and surgery.Study Design: Retrospective study.Methods: Sixty-six patients with alignment within 10 prism diopters at final visit with PPC and surgery were included. According to the final stereoacuity, patients were grouped into the fine group (≤ 60 arcsec (“)), the coarse group (60 “ 6 months, ≤ 2 years; late: > 2 years) was carried out with the Kruskal–Wallis test.Results: There were no differences in ages at initial PPC, at surgery, at final visit, durations of misalignment, of PPC, or after surgery; however, significant differences in ages at onset and initial visit were found. Age at onset in the absent group was significantly earlier than those of the fine and the coarse groups (p < 0.001 and p < 0.001, respectively). Moreover, of the 25 patients with age at onset > 2 years, 18 patients (72%) showed fine or coarse stereoacuity (p < 0.001).Conclusion: Although stereoacuity outcomes in patients with early onset were poor despite of the finally successful alignments obtained with PPC and surgery, fine stereoacuity and coarse stereoacuity were obtained in 24% and 44% of patients with age at onset > 2 years.Keywords: partially refractive accommodative esotropia, prism correction, stereoacuity, critical period, surgery |
