Characteristics of Esodeviation Related to Hyperopia in Children Aged 4 to 6 Years: A Retrospective Cohort Study

Purpose: To investigate the characteristics of esotropia associated with hyperopia in children aged 4 to 6 years.Methods: Medical charts of 142 patients (60 boys and 82 girls; age range, 4–6 years) with esotropia and hyperopia (≥1.5 diopters after cycloplegic refraction) were retrospectively reviewe...

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Veröffentlicht in:Korean journal of ophthalmology Jg. 39; H. 5; S. 441 - 445
Hauptverfasser: Yoon, Yi Sang, Kim, Ungsoo Samuel
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Korea (South) 대한안과학회 01.10.2025
Schlagworte:
Accommodation, Ocular - physiology
Child
Child, Preschool
Esotropia - diagnosis
Esotropia - etiology
Esotropia - physiopathology
Esotropia - therapy
Eyeglasses
Female
Follow-Up Studies
Humans
Hyperopia - complications
Hyperopia - diagnosis
Hyperopia - physiopathology
Male
Refraction, Ocular - physiology
Retrospective Studies
Visual Acuity - physiology
안과학
Accommodative refractive esotropia
Hyperopia
Strabismus
ISSN:1011-8942, 2092-9382
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Zusammenfassung:Purpose: To investigate the characteristics of esotropia associated with hyperopia in children aged 4 to 6 years.Methods: Medical charts of 142 patients (60 boys and 82 girls; age range, 4–6 years) with esotropia and hyperopia (≥1.5 diopters after cycloplegic refraction) were retrospectively reviewed. Patients were classified into four groups: (1) fully corrected accommodative esotropia (FCAET); (2) accommodative esotropia (AET) with residual deviation ≤8 prism diopters; (3) partially AET (PAET) with residual deviation ≥10 prism diopters; and (4) nonaccommodative esotropia (NAET). Clinical parameters, including best-corrected visual acuity, angle of esodeviation, and refractive errors, were analyzed to identify predictors of esodeviation type.Results: Female patients were significantly more likely to achieve good control with glasses (p = 0.044). Visual acuity in the better and worse eyes and the prevalence of anisometropic amblyopia did not differ among groups (p = 0.430, p = 0.124, and p = 0.189, respectively). The hyperopia (spherical power) of the AET group was significantly higher than that of the NAET group (p = 0.028), and the spherical equivalent was also more hyperopic in the AET group compared with the NAET group (p = 0.040). Near esodeviation in the FCAET group was significantly smaller than that in the AET group (p = 0.003), whereas esodeviation at distance did not differ among groups (p = 0.115).Conclusions: Larger angles of esodeviation and lower degrees of hyperopia were associated with a reduced likelihood of successful correction with glasses. Multiple factors should therefore be considered when predicting motor outcomes of accommodative esotropia prior to a trial of spectacle correction.
ISSN:1011-8942
2092-9382
DOI:10.3341/kjo.2025.0032