نوع مقاله : مقاله پژوهشی
نویسندگان
1 مربی گروه اپتومتری دانشکده علوم توانبخشی دانشگاه علوم پزشکی شهید بهشتی
2 دانشجوی کارشناسی ارشد دانشگاه علوم پزشکی شهید بهشتی
3 دانشیار گروه چشم دانشکده پزشکی دانشگاه علوم پزشکی تهران
4 مربی گروه علوم پایه دانشکده علوم توانبخشی دانشگاه علوم پزشکی شهید بهشتی
5 گروه چشم پزشکی، مرکز تحقیقات بیمارستان فارابی، دانشکده پزشکی دانشگاه علوم پزشکی تهران
چکیده
کلیدواژهها
موضوعات
عنوان مقاله [English]
نویسندگان [English]
Background and Aim: Accommodative esotropia is the most common strabismus among children and its initial treatment is optical correction of the full refractive error. Considering the fact that emmetropization is controlled by refractive status of the eye and visual acuity, early correction of hyperopia in childhood may impede emmetropization. The purpose of the present study was to assess the relationship between age when spectacles wear initiated and refractive error changes in children with accommodative esotropia.
Materials and Method: In the present cross-sectional study, medical records of 1- to 8-year-old patients diagnosed with refractive accommodative esotropia (esotropia decreased to within 10∆ with full hyperopic correction) were reviewed and the refractive data was analyzed for 3 groups of children based on their age when spectacles wear initiated.
Results: A total of 62 patients were included in the study. The mean age when spectacles wear initiated was 2.5 years and the mean of follow-up period was 1.9 years. The relationship between age when spectacles wear initiated with changes in spherical equivalent and hyperopia was statistically significant (p<0.05), but with astigmatism it was not revealed to be significant (p>0.05). There is a negative relationship between spherical equivalent and hyperopia with the age when spectacles wear initiated.
Conclusion: The age when spectacles wear initiated is significantly correlated to the changes in spherical equivalent and hyperopia in children with accommodative esotropia. The lower the age when spectacles wear initiated, the higher the spherical equivalent and hyperopia. The possibility that full correction of hyperopia impedes emmetropization must be considered.
کلیدواژهها [English]