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• W2017889692 abstract "Purpose To investigate the optimal amount of safe under-correction in patients with refractive accommodative esotropia. Design Prospective noncomparative interventional case series. Methods Patients with refractive accommodative esotropia wore trial glasses based on cycloplegic refraction, then −0.25 diopters (D) of minus sphere lenses were placed on both lenses of the trial glasses and the deviation was measured. Minus spheres of −0.25 D were continuously added until the angle of deviation increased; the minus spheres added just before the deviation increase were defined as the maximal tolerable amount of under-correction. A total of 38 patients were prescribed under-corrected spectacles up to −1.5 D and followed for 6 months. Results Thirty-one patients underwent the maximal tolerable amount of under-correction and 7 underwent −1.5 D of under-correction. A mean −0.89 D of under-correction was performed. We observed no deterioration in visual acuity, stereoacuity, or fusional ability during the follow-up period in any of the patients. Small increase in the angle of deviation of 2 prism diopters was noted in 2 patients. The mean spherical equivalent refractive error of both eyes (P = .012) and age of onset (P = .006) showed strong positive correlations with the maximal tolerable amount of under-correction. Conclusions A reduction in hyperopic correction by the maximal tolerable amount of under-correction was performed without notable short-term side effects. The spherical equivalent refractive error and age of onset appear to be useful clinical indices in determining the appropriate amount of under-correction. To investigate the optimal amount of safe under-correction in patients with refractive accommodative esotropia. Prospective noncomparative interventional case series. Patients with refractive accommodative esotropia wore trial glasses based on cycloplegic refraction, then −0.25 diopters (D) of minus sphere lenses were placed on both lenses of the trial glasses and the deviation was measured. Minus spheres of −0.25 D were continuously added until the angle of deviation increased; the minus spheres added just before the deviation increase were defined as the maximal tolerable amount of under-correction. A total of 38 patients were prescribed under-corrected spectacles up to −1.5 D and followed for 6 months. Thirty-one patients underwent the maximal tolerable amount of under-correction and 7 underwent −1.5 D of under-correction. A mean −0.89 D of under-correction was performed. We observed no deterioration in visual acuity, stereoacuity, or fusional ability during the follow-up period in any of the patients. Small increase in the angle of deviation of 2 prism diopters was noted in 2 patients. The mean spherical equivalent refractive error of both eyes (P = .012) and age of onset (P = .006) showed strong positive correlations with the maximal tolerable amount of under-correction. A reduction in hyperopic correction by the maximal tolerable amount of under-correction was performed without notable short-term side effects. The spherical equivalent refractive error and age of onset appear to be useful clinical indices in determining the appropriate amount of under-correction." @default.
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• W2017889692 title "The Maximal Tolerable Reduction in Hyperopic Correction in Patients With Refractive Accommodative Esotropia: A 6-Month Follow-up Study" @default.
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• W2017889692 doi "https://doi.org/10.1016/j.ajo.2010.09.023" @default.
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