Binocularity in refractive accommodative esotropia.
OBJECTIVE
To investigate whether restoration of normal stereo acuity is possible in refractive accommodative esotropia.


METHODS
Twenty patients with refractive accommodative esotropia were included in the study. The cycloplegic refraction and the best corrected visual acuity of each patient were recorded. The patients were evaluated by the 4-prism-diopter test, Bagolini striated glasses, the Worth 4-dot test, the TNO stereo test, and the stereo fly plate of the Titmus test.


RESULTS
Eight patients had orthotropia with normal retinal correspondence and 12 patients had a small deviation with abnormal retinal correspondence. Nine patients (8 patients with orthotropia and 1 patient with microtropia) demonstrated a gross level of stereo acuity, whereas the others demonstrated no stereopsis.


CONCLUSIONS
In patients with refractive accommodative esotropia, the prognosis is not favorable for restoration of normal stereopsis, even if orthotropia is achieved.
Tomaç
Sühan
S
Department of Ophthalmology, Zonguldak Karaelmas University Faculty of Medicine, Turkey.
D000065:Accommodation, Ocular / Q000502:physiology*; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004948:Esotropia / Q000503:physiopathology*; D005139:Eyeglasses; D006801:Humans; D012029:Refraction, Ocular / Q000502:physiology*; D012030:Refractive Errors / Q000175:diagnosis*; D012189:Retrospective Studies; D014787:Vision Tests / Q000379:methods; D015348:Vision, Binocular / Q000502:physiology*