청소년기에서의 굴절조절내사시의 임상양상

• 영문명: Clinical Outcomes of Refractive Accommodative Esotropia in Korean Adolescent Patients
• 발행기관: 대한안과학회
• 저자명: 김태경 강남여,Tai Kyung Kim, MD, Nam Yeo Kang, MD,
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number12, 1630~1638쪽, 전체 9쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2010.12.15

영문 초록

Purpose: To report the clinical course of refractive accommodative esotropia (AE) and to determine whether the strabismus resolves during the adolescent years in Korean patients. Methods: A total of 32 adolescent patients with AE associated with hyperopia were retrospectively reviewed. Ocular alignments, amblyopia, stereopsis, changes in refractive error with time after glasses prescribed, and clinical characteristics were studied. Results: The mean age and follow-up were 14.9 and 10.1 years, respectively at the final visit. The Initial and final refractive errors were 5.16 and 2.52 diopters (D), respectively. Spectacles were initiated at a mean age of 4.7 years, and intentional undercorrection initiated from a mean age of 6.3 years. Hyperopic reduction after prescribing glasses followed the formula: Diopter (D) = 5.23 - 0.02 (Time) - 0.03 (Time)**2. Initially,16 out of 32 patients (50%) showed fully corrected hyperopia, and eventually, 71.9% wore partially corrected spectacles. The mean change of hyperopia per year was 0.26 D. Six out of 32 patients (18.8%) were successfully discontinued from hyperopic spectacles and the mean age of weaning was 14.7 years. Intentional initial undercorrection did not affect hyperopic reduction (p = 0.123). Conclusions: AE persists through adolescence for a majority of Korean patients. These patients need to be carefully monitored during follow-up periods because most do not outgrow their hyperopia and need to using spectacles. J Korean Ophthalmol Soc 2010;51(12):1630-1638

키워드

Adolescent, Hyperopic reduction, Refractive accommodative esotropia, Weaning