title: The deterioration of refractive accommodative esotropia.
abstract: OBJECTIVE
  To discuss the prevalence of deterioration and factors which may influence deterioration.
  
  
  METHODS
  Records of 137 patients with the diagnosis of refractive accommodative esotropia who were followed for a period of at least 5 years were reviewed.
  
  
  RESULTS
  Twenty-three of the 137 patients (16.8%) deteriorated. Deterioration was most likely to occur in patients with a breakdown of the sensory status, or where anti-accommodative therapy was delayed. The age of onset, refractive status, and VA difference between two eyes were not etiologic factors in the process of deterioration.
  
  
  CONCLUSIONS
  We think that early diagnosis of accommodative esotropia, timely prescription of optical correction and maintenance of binocularity play an important role in preventing deterioration from occurring.
authors.affiliation: Zhongshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou 510060, China.
authors.forename: Y
authors.initials: Y
authors.lastname: Jianhua
authors.forename: Y
authors.initials: Y
authors.lastname: Shaomei
authors.forename: W
authors.initials: W
authors.lastname: Yimin
mesh_terms: D000065:Accommodation, Ocular; D004948:Esotropia / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D012189:Retrospective Studies; D015348:Vision, Binocular