title: Long-term treatment results of accommodative esotropia.
abstract: OBJECTIVE
  To report the long-term ocular alignment outcomes of patients with accommodative esotropia.
  
  
  METHODS
  The medical records of consecutive patients ≤12 year of age diagnosed with refractive accommodative esotropia (esotropia eliminated or decreased to within 10(Δ) with full hyperopic correction) and followed for at least 10 years were retrospectively reviewed.
  
  
  RESULTS
  A total of 107 patients were included (mean age, 4.81 ± 2.64 years). The mean follow-up period was 12.02 ± 2.25 years (range, 10-21 years). At the first examination performed 10 years after spectacle correction (mean, 10.2 years), 85 patients (79%) had orthophoria or esotropia ≤10(Δ) at both near and distance fixation, 14 (13%) had consecutive exotropia, 5 (5%) had decompensation and 3 (3%) had esotropia with a high ratio of accommodative convergence to accommodation (AC/A). The mean time interval between presentation and prescription of full hyperopic correction, initial cycloplegic refraction, and presence of amblyopia was not associated with consecutive exotropia, decompensation, or a high AC/A ratio esotropia.
  
  
  CONCLUSIONS
  Whereas most patients with refractive accommodative esotropia maintained normal long-term ocular motility with spectacle treatment, some developed consecutive exotropia, nonaccommodative esotropia, or esotropia with a high AC/A ratio.
authors.affiliation: Squint Centre, Chandigarh, India. Electronic address: kanwarmohan36@gmail.com.
authors.forename: Kanwar
authors.initials: K
authors.lastname: Mohan
authors.affiliation: Cornea Centre, Chandigarh, India.
authors.forename: Ashok
authors.initials: A
authors.lastname: Sharma
mesh_terms: D000065:Accommodation, Ocular; D002648:Child; D002675:Child, Preschool; D004948:Esotropia / Q000503:physiopathology / Q000628:therapy*; D005139:Eyeglasses; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D012029:Refraction, Ocular / Q000502:physiology; D012189:Retrospective Studies; D015348:Vision, Binocular / Q000502:physiology; D014792:Visual Acuity / Q000502:physiology