Use of atropine to predict the accommodative component in esotropia with hypermetropia

• Main Authors: Mihir Kothari, Florence Manurung, Shalaka Paralkar
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2011-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Myopia; prethreshold retinopathy of prematurity; retinopathy of prematurity; Retinopathy of prematurity; screening; survey; Anthrax; community-acquired methicillin-resistant Staphyloccus aureus; orbital cellulitis; preseptal cellulitis; Intrastromal corneal ring segments; keraring; post-LASIK ectasia; Blebitis; bleb leak; microbiology; ocular surface diseases; risk factors; Early glaucoma; retinal nerve fiber layer thickness; spectral optical coherence tomography / scanning laser ophthalmoscope; Blowout; diplopia; prism; strabismus; Ocular trauma; open globe injury; preoperative visual acuity; prognostic factors; relative afferent pupillary defect; Anterior chamber depth; axial length; lens thickness; phacomorphic glaucoma; risk factor; Refractive errors; Schoolgirls; visual impairments; Cataract; intraocular lens; monovision; presbyopia; pseudophakic; Accommodative esotropia; atropine; cycloplegia; esotropia
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2011;volume=59;issue=6;spage=487;epage=490;aulast=Kothari
• ISSN: 0301-4738; 1998-3689

This cohort study included children with esotropia and hypermetropia of ≥ +2.0 diopters (D). The deviation was measured at presentation, under atropine cycloplegia and 3 months after full refractive correction. Of 44 children with a mean age of 5.2 ± 2.4 years, 25 were males. Eighteen (41%) had fully refractive accommodative esotropia (RAE), 10 (23%) had partial accommodative esotropia (PAE), and 5 (11%) had nonaccommodative esotropia (NAE). Eleven (25%) had convergence excess (CE). Under cycloplegia, all with RAE and RAE with CE had orthotropia. There was no significant change in the deviation in the patients with NAE. The deviation under cycloplegia and that with full refractive correction in PAE and PAE with CE (with +3.0 D addition) were not different. The intraclass correlation coefficient for deviation under cycloplegia and after full refractive correction (+3.0 D addition for CE) was 0.89. It was concluded that ocular deviation under cycloplegia can help to predict the accommodative component in esotropia with hypermetropia.