Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2025
Stereopsis in children with fully versus partially accommodative esotropia.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Hecht Idan, Diehl Nancy N, Mohney Brian G
Аннотация
PURPOSE: To compare the stereoacuity outcomes and associated predictors among children with fully accommodative esotropia (FAET) and those with partially accommodative esotropia (PAET).
METHODS: The medical records of all children (<19 years) diagnosed with accommodative esotropia while residing in Olmsted County, Minnesota, from January 1, 1975, through December 31, 1994, were retrospectively reviewed.
RESULTS: A total of 306 children with accommodative esotropia were diagnosed during the study period: 244 (79.7%) were fully accommodative, and 62 (20.3%) were partially accommodative. Children with PAET were more likely to be diagnosed at a younger age (3.6 years vs 4.1 [P = 0.026]) and have a larger mean angle of deviation at distance (26.0Δ vs 17.3Δ; P < 0.001) and at near (33.3Δ vs 23.3Δ [P < 0.001]) than children with FAET. After a mean follow-up of 9.8 years (range, 0-27.9), high-grade stereoacuity (≤60 arcsec) was found in 81/230 (35%) of the 244 children with FAET compared with 8/58 (14%) of 62 with PAET at final follow-up (P = 0.002). A mean older age at reported onset (3.7 vs 3.0 years [P = 0.018]) was associated with high-grade stereoacuity in children with FAET.
CONCLUSIONS: In this population-based cohort, children with FAET were more likely to present at an older age, with a smaller deviation, and achieve high-grade stereoacuity than were those with PAET. Older age at onset was significantly associated with fine stereopsis in children with FAET.
METHODS: The medical records of all children (<19 years) diagnosed with accommodative esotropia while residing in Olmsted County, Minnesota, from January 1, 1975, through December 31, 1994, were retrospectively reviewed.
RESULTS: A total of 306 children with accommodative esotropia were diagnosed during the study period: 244 (79.7%) were fully accommodative, and 62 (20.3%) were partially accommodative. Children with PAET were more likely to be diagnosed at a younger age (3.6 years vs 4.1 [P = 0.026]) and have a larger mean angle of deviation at distance (26.0Δ vs 17.3Δ; P < 0.001) and at near (33.3Δ vs 23.3Δ [P < 0.001]) than children with FAET. After a mean follow-up of 9.8 years (range, 0-27.9), high-grade stereoacuity (≤60 arcsec) was found in 81/230 (35%) of the 244 children with FAET compared with 8/58 (14%) of 62 with PAET at final follow-up (P = 0.002). A mean older age at reported onset (3.7 vs 3.0 years [P = 0.018]) was associated with high-grade stereoacuity in children with FAET.
CONCLUSIONS: In this population-based cohort, children with FAET were more likely to present at an older age, with a smaller deviation, and achieve high-grade stereoacuity than were those with PAET. Older age at onset was significantly associated with fine stereopsis in children with FAET.