Document Detail


Deterioration of accommodative esotropia during part-time occlusion therapy.
MedLine Citation:
PMID:  15929492     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors report two cases of suddenly deteriorated accommodative esotropia with amblyopia during part-time occlusion therapy. A 7-year-old girl with right accommodative esotropia, which was well controlled, showed marked increase in esodeviation after part-time occlusion and regained orthophoria without occlusion. This phenomenon was repeated. Recession of both medial recti was performed and orthophoria was well maintained at both distant and near targets. Accommodative esotropia of a 9-year-old boy with glasses also showed a striking increase in esodeviation after part-time occlusion. The authors recommended wearing only glasses without occlusion or surgery and he recovered fusion. Three months later, orthophoria was maintained at distant target, with 8PD esophoria at near target with glasses. Although this complication should be considered before occlusion therapy, it must be taken continuously if needed, because an increase of the deviation size with occlusion may simply reflect a true deviation and may not be a poor prognostic sign.
Authors:
Seunghyun Kim; Seongwoo Kim; Yoonae A Cho
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Korean journal of ophthalmology : KJO     Volume:  19     ISSN:  1011-8942     ISO Abbreviation:  Korean J Ophthalmol     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-06-02     Completed Date:  2005-06-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8804513     Medline TA:  Korean J Ophthalmol     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  77-9     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea.
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MeSH Terms
Descriptor/Qualifier:
Accommodation, Ocular*
Amblyopia / physiopathology,  therapy
Child
Esotropia / etiology*,  physiopathology
Eyeglasses
Female
Humans
Male
Sensory Deprivation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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