Long-term outcomes of prismatic correction in partially accommodative esotropia


Autoři: Hye Rim Choe aff001;  Hee Kyung Yang aff001;  Jeong-Min Hwang aff001
Působiště autorů: Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea aff001
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article
doi: 10.1371/journal.pone.0225654

Souhrn

Purpose

In partially accommodative esotropia (PAET), prism glasses can correct small angles of residual esotropia but the long-term effect of prismatic correction alone without surgery has not been reported. We aimed to investigate the long-term outcome of prism glasses after full hypermetropic correction for PAET.

Methods

This retrospective, case-control study was performed for children aged 10 years or younger with a residual esotropia of ≤ 20 prism diopters (PD) after full hypermetropic correction who were fitted with prism glasses and followed-up for 3 years or more. Clinical characteristics and the angle of esodeviation were obtained at each follow-up examination. Successful motor outcome after 3 years of prismatic correction was determined if the residual angle of esotropia after full hypermetropic correction was ≤ 10PD. Patients who eventually weaned off prism glasses were noted.

Results

Among 124 patients, 30.6% achieved success and 7.3% weaned off prism glasses after 3 years of prism-wear. Smaller amount of latent esodeviation (P = 0.001) revealed by prism adaptation and good fusional response at near with the Worth 4-dot test were significant prognostic factors of success by multivariate analysis (P = 0.033). After 3 years of wearing prism glasses, the rate of improvement in stereoacuity was higher in the Success group (60.5% vs 27.9%) (P = 0.001), however, there was no significant difference between the prism-weaned group and prism-wearing group within the Success group (P>0.05).

Conclusion

Prism glasses for small angle PAET can be a treatment option in patients who have a small angle of latent esodeviation revealed by prism adaptation and good sensory fusion at near. Otherwise, early surgery may be advisable as the majority of patients showed suboptimal outcome even after long-term prism-wear.

Klíčová slova:

Covariance – Eyes – Chi square tests – Pediatric surgery – Prisms – Refractive surgery – Surgical and invasive medical procedures


Zdroje

1. Hiatt RL. Medical management of accommodative esotropia. J Pediatr Ophthalmol Strabismus. 1983;20(5):199–201. 6631652.

2. Miller JE. A comparison of miotics in accommodative esotropia. Am J Ophthalmol. 1960;49:1350–5. doi: 10.1016/0002-9394(60)91354-4 14422527.

3. Koc F, Ozal H, Yasar H, Firat E. Resolution in partially accomodative esotropia during occlusion treatment for amblyopia. Eye (Lond). 2006;20(3):325–8. doi: 10.1038/sj.eye.6701874 15933753.

4. Hwang JM, Min BM, Park SC, Oh SY, Sung NK. A randomized comparison of prism adaptation and augmented surgery in the surgical management of esotropia associated with hypermetropia: one-year surgical outcomes. J AAPOS. 2001;5(1):31–4. doi: 10.1067/mpa.2001.111782 11182670.

5. von Noorden GK. Early onset accommodative esotropia. J Pediatr Ophthalmol Strabismus. 1999;36(5):307. 10505839.

6. Wright KW, Strube YNJ. Pediatric Ophthalmology and Strabismus. third ed. New York: Oxford University Press; 2012.

7. Hwang JM, Min BM, Park SC, Oh SY. A randomized comparison of prism adaptation and augmented surgery in the surgical management of esotropia associated with hypermetropia. J Pediatr Ophthalmol Strabismus. 1999;36(4):196–200. 10442726.

8. Giangiacomo J. Efficacy of prism adaptation in the surgical management of acquired esotropia. Arch Ophthalmol. 1991;109(6):765. doi: 10.1001/archopht.1991.01080060019002 2043054.

9. Repka MX, Connett JE, Baker JD, Rosenbaum AL. Surgery in the prism adaptation study: accuracy and dose response. Prism Adaptation Study Research Group. J Pediatr Ophthalmol Strabismus. 1992;29(3):150–6. 1432498.

10. Repka MX, Connett JE, Scott WE. The one-year surgical outcome after prism adaptation for the management of acquired esotropia. Ophthalmology. 1996;103(6):922–8. doi: 10.1016/s0161-6420(96)30586-1 8643248.

11. Repka MX, Wentworth D. Predictors of prism response during prism adaptation. Prism Adaptation Study Research Group. J Pediatr Ophthalmol Strabismus. 1991;28(4):202–5. 1919966.

12. Scott WE, Thalacker JA. Preoperative prism adaptation in acquired esotropia. Ophthalmologica. 1984;189(1–2):49–53. doi: 10.1159/000309384 6472806.

13. Prism Adaptation Study Research Group. Efficacy of prism adaptation in the surgical management of acquired esotropia. Arch Ophthalmol 1990;108(9):1248–56. doi: 10.1001/archopht.1990.01070110064026 2100986.

14. Han SB, Hwang JM. Prismatic correction of residual esotropia of 20 prism dioptres or less after full hypermetropic correction. Eye (Lond). 2009;23(11):2052–5. doi: 10.1038/eye.2008.424 19182765.

15. Lee EK, Yang HK, Hwang JM. Long-term outcome of prismatic correction in children with consecutive esotropia after bilateral lateral rectus recession. Br J Ophthalmol. 2015;99(3):342–5. doi: 10.1136/bjophthalmol-2014-305861 25336581.

16. Lee EK, Hwang JM. Prismatic correction of consecutive esotropia in children after a unilateral recession and resection procedure. Ophthalmology. 2013;120(3):504–11. doi: 10.1016/j.ophtha.2012.08.026 23174395.

17. Holmes JM, Leske DA, Hohberger GG. Defining real change in prism-cover test measurements. Am J Ophthalmol. 2008;145(2):381–5. doi: 10.1016/j.ajo.2007.09.012 18045567.

18. Adams WE, Leske DA, Hatt SR, Holmes JM. Defining real change in measures of stereoacuity. Ophthalmology. 2009;116(2):281–5. doi: 10.1016/j.ophtha.2008.09.012 19091410.

19. Fawcett S, Leffler J, Birch EE. Factors influencing stereoacuity in accommodative esotropia. J AAPOS. 2000;4(1):15–20. doi: 10.1016/s1091-8531(00)90006-5 10675866.

20. Ing MR, Okino LM. Outcome study of stereopsis in relation to duration of misalignment in congenital esotropia. J AAPOS. 2002;6(1):3–8. doi: 10.1067/mpa.2002.120172 11907472.

21. Murray AD, Orpen J, Calcutt C. Changes in the functional binocular status of older children and adults with previously untreated infantile esotropia following late surgical realignment. J AAPOS. 2007;11(2):125–30. doi: 10.1016/j.jaapos.2006.10.016 17306996.

22. Berk AT, Kocak N, Ellidokuz H. Treatment outcomes in refractive accommodative esotropia. J AAPOS. 2004;8(4):384–8. doi: 10.1016/j.jaapos.2004.02.001 15314602.

23. Fawcett SL, Birch EE. Risk factors for abnormal binocular vision after successful alignment of accommodative esotropia. J AAPOS. 2003;7(4):256–62. doi: 10.1016/s1091-8531(03)00111-3 12917612.

24. Iordanous Y, Mao A, Makar I. Preoperative Factors Affecting Stereopsis after Surgical Alignment of Acquired Partially Accommodative Esotropia. Strabismus. 2015;23(4):151–8. doi: 10.3109/09273972.2015.1099708 26669419.

25. Kassem RR, Elhilali HM. Factors affecting sensory functions after successful postoperative ocular alignment of acquired esotropia. J AAPOS. 2006;10(2):112–6. doi: 10.1016/j.jaapos.2006.01.001 16678744.

26. Goldstein JH, Schneekloth BB. Atropine versus cyclopentolate plus tropicamide in esodeviations. Ophthalmic Surg Lasers. 1996;27(12):1030–4. Epub 1996/12/01. 8976523.


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2019 Číslo 12