Long-term outcomes of prismatic correction in partially accommodative esotropia

Choe, Hye Rim; Yang, Hee Kyung; Hwang, Jeong Min

doi:10.1371/journal.pone.0225654

Cited by 10 publications

(6 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Kenneth et al stated that the amount of muscle that was recessed could be calculated based on the augmentation formula, the sum of deviation of the near without spectacles, and distance deviation with spectacles, divided by 2. [3,[9][10][11]13]. In our patient, the deviation found to be 45∆ (50∆ + 40∆ BO / 2) then the recession is carried out at about 6 mm as shown in the table (Table 1).…”

Section: Introductionmentioning

confidence: 73%

“…Hye et alsuggested a minimum follow-up of 1 year to determine whether the patient's hypermetropia correction can maintain eye alignment after surgery. Prognosis of this the patient is still good even in the presence of strabismus amblyopia which is characterized by thesuppression of the left eye and the full correction spectacles showed no optimal visual acuity improvement [8][9]12].…”

mentioning

confidence: 99%

See 1 more Smart Citation

Management of Partially Accommodative Esotropia: A case report

2021

J Med Case Rep Case Ser

View full text Add to dashboard Cite

BackgroundPartially accommodative esotropia show a reduction in the angle of esotropia when wearing spectacles but have a residual esotropia despite the provision of the full hyperopic correction. Amblyopia is common and thus the chance for achieving fusion and high-grade stereopsis is usually not high in this group. This case to report management of partially accommodative esotropia with amblyopia in children. Case presentationSix years old girl came with her mother to the Pediatric and Strabismus division of Cicendo National Eye Hospital with a chief complaint of esodeviation in the left eye 4 years ago. No previous history of trauma or illness.Lensometer result RE S +1.50 C-1.25 x140 LE S+4.25 C-3.00 x170. The best-corrected visual acuity was 0.63 on RE and 0.5 on LE. Ocular movements were good in all directions. Hirschberg test without spectacles showed left esotropia 300 and with spectacles left esotropia 150.Worth Four Dot Test (WFDT) and TNO test showed suppression in LE with stereopsis more than 2000 minutes of arc, respectively anterior and posterior segment within the normal limit in both eyes. She was diagnosed with partially accommodative esotropia. She underwent bilateral medial rectus recession to treat partially accommodative esotropia. There was an improvement in the patient's eye alignment. She had orthotropic eye alignment with spectacle correction of the full amount of hyperopia after one week follows up. ConclusionsThe goal therapy for partially accommodative esotropia is not to operate the patient out of spectacles, but rather to achieve alignment and fusion with full hyperopia correction.

show abstract

Section: Introductionmentioning

confidence: 73%

mentioning

confidence: 99%

Management of Partially Accommodative Esotropia: A case report

2021

J Med Case Rep Case Ser

View full text Add to dashboard Cite

show abstract

“…On the other hand, prisms have been used to reduce the amount of esodeviation and improve sensory status in partially accommodative esotropia (PAET) and acquired strabismus [8,13,14,34] . However, the long-term effect of prisms in reducing the angle of esodeviation in amblyopia has not been evaluated.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of prismatic combination treatment on children with amblyopia combined with esotropia

Xiao,

Wu,

et al. 2023

Preprint

View full text Add to dashboard Cite

Purpose Prism has been used as a non-surgical treatment for certain types of strabismus; however, its role as the primary intervention for amblyopia combined with esotropia has been rarely studied. The objective of this study was to compare the effectiveness of prismatic correction with traditional occlusion therapy in treating amblyopia combined with esotropia. Methods This retrospective case-control study included children aged 3 to 16 years with amblyopia combined with esotropia. After refractive correction, the patients were divided into two groups. The control group received traditional occlusion therapy combined with binocular treatment, while the prism group received full correct prisms combined with binocular treatment. Clinical characteristics, visual acuity, binocular functions, and the angle of esodeviation were assessed at each follow-up examination. The treatment outcomes after 12 months were evaluated to determine the more effective protocol. Results At baseline, there were no significant differences in age, gender ratio, best-corrected visual acuity (BCVA) of the amblyopic eye, deviation amount (△), and binocular vision function between the two groups (all P > 0.05). After treatment, both groups showed improvement in amblyopic eye visual acuity. The difference in visual acuity improvement between the two groups was not statistically significant at 6 months (0.18±0.17 vs 0.14±0.11, P > 0.05), but it was statistically significant at 12 months (0.35±0.20 vs 0.25±0.18, P < 0.05). The prism group demonstrated a significant improvement in binocular vision function, whereas there was no significant change in the control group at 6 months or 12 months after treatment. The deviation amount (△) remained stable in both groups, with no significant difference between the two groups after treatment. Conclusion Prismatic treatment combined with binocular treatment was more effective in improving amblyopic eye visual acuity and binocular vision compared to traditional occlusion therapy combined with binocular treatment in children with amblyopia combined with esotropia. Prismatic correction could be considered as the first-line treatment for amblyopia combined with esotropia.

show abstract

“…Some studies have shown that in patients with consecutive esotropia or partially accommodative esotropia, the use of base-out prisms regained binocular fusion, stimulated fusional divergence, and achieved orthophoria in a step-by-step manner to reduce prismatic strength [ 14 – 17 ].…”

Section: Introductionmentioning

confidence: 99%

Prismatic treatment of acute acquired concomitant esotropia of 25 prism diopters or less

Feng

et al. 2022

BMC Ophthalmol

View full text Add to dashboard Cite

Background This study aimed to assess the efficacy of prismatic treatment in a step-by-step manner to reduce prismatic strength in acute acquired concomitant esotropia (AACE) of 25 prism diopters (PD) or less. Methods In this retrospective comparative study, 36 patients with AACE with deviation angle ≤ 25 PD were treated with Fresnel prism in a step-by-step manner to reduce prismatic strength. The patients were divided into two groups according to whether they regained orthophoria and were weaned off the press-on prisms within 1 year: (1) the treatment-success group, which consisted of patients who had their esotropia eliminated and were weaned off the press-on prisms within 1 year after prism correction, and (2) the treatment-continuing group, which comprised patients who needed to continue wearing a Fresnel prism at 1 year after the beginning of prismatic correction because diplopia and esotropia still existed. Clinical characteristics and cooperation were analyzed and compared between groups. Results Fourteen of 36 patients (38.9%) were weaned off the prism and regained orthophoria and binocular single vision within 1 year after prismatic treatment. Compared with the treatment-continuing group, the treatment-success group showed smaller deviation at near and distant fixations (P = 0.024 and P = 0.006, respectively) measured at the beginning of prismatic correction, a shorter time from onset to prismatic treatment (P = 0.02), and a greater percentage of patients exhibiting good cooperation (P < 0.001). Conclusions Prismatic treatment in a step-by-step manner to reduce prismatic strength can lead to good outcomes of motor alignment and binocular function in patients with AACE of 25 PD or less. Patients showing good cooperation, smaller angle of esotropia, and shorter duration from onset to treatment tend to eliminate esotropia and be weaned off press-on prisms within 1 year after prismatic correction.

show abstract

Long-term outcomes of prismatic correction in partially accommodative esotropia

Cited by 10 publications

References 26 publications

Management of Partially Accommodative Esotropia: A case report

Management of Partially Accommodative Esotropia: A case report

Effectiveness of prismatic combination treatment on children with amblyopia combined with esotropia

Prismatic treatment of acute acquired concomitant esotropia of 25 prism diopters or less

Contact Info

Product

Resources

About