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Clinical study of the influence of preoperative wearing time on postoperative effects in children with partially accommodative esotropia.

Abstract The aim of this study was to evaluate the influence of the preoperative wearing time on the postoperative effect in children with partially accommodative esotropia.Sixty children with partially accommodative esotropia who visited our hospital were placed in full cycloplegic refraction by using 1% Atropine eye gel and then wore full hyperopic correction glasses. Children were divided into groups A and B according to the preoperative wearing time. The visual acuity, eye position, and results of the synoptophore and Titmus stereoacuity tests were recorded before and half a year after the surgery in each group, and appropriate statistical analyses were conducted.Half a year after the operation, 54 cases achieved orthotropia when wearing full hyperopic correction glasses. One case was overcorrected. Five cases were undercorrected. The results of the synoptophore and Titmus stereoacuity test showed that there was no significant difference between postoperative outcomes for patients who wore glasses for half a year and for 1 year before the operation.For children with partially accommodative esotropia, surgery should be used to correct the eye position after wearing full hyperopic correction glasses for half a year to improve the eye position and binocular vision as early as possible. If the operation cannot be completed after the patient wears full hyperopic correction glasses for half a year due to various subjective and objective factors, a good postoperative effect can be obtained if the patients receive surgery after wearing full hyperopic correction glasses for 1 year.
PMID
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Authors

Mayor MeshTerms

Eyeglasses

Keywords
Journal Title medicine
Publication Year Start




PMID- 29742698
OWN - NLM
STAT- MEDLINE
DCOM- 20180515
LR  - 20180515
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 19
DP  - 2018 May
TI  - Clinical study of the influence of preoperative wearing time on postoperative
      effects in children with partially accommodative esotropia.
PG  - e0619
LID - 10.1097/MD.0000000000010619 [doi]
AB  - The aim of this study was to evaluate the influence of the preoperative wearing
      time on the postoperative effect in children with partially accommodative
      esotropia.Sixty children with partially accommodative esotropia who visited our
      hospital were placed in full cycloplegic refraction by using 1% Atropine eye gel 
      and then wore full hyperopic correction glasses. Children were divided into
      groups A and B according to the preoperative wearing time. The visual acuity, eye
      position, and results of the synoptophore and Titmus stereoacuity tests were
      recorded before and half a year after the surgery in each group, and appropriate 
      statistical analyses were conducted.Half a year after the operation, 54 cases
      achieved orthotropia when wearing full hyperopic correction glasses. One case was
      overcorrected. Five cases were undercorrected. The results of the synoptophore
      and Titmus stereoacuity test showed that there was no significant difference
      between postoperative outcomes for patients who wore glasses for half a year and 
      for 1 year before the operation.For children with partially accommodative
      esotropia, surgery should be used to correct the eye position after wearing full 
      hyperopic correction glasses for half a year to improve the eye position and
      binocular vision as early as possible. If the operation cannot be completed after
      the patient wears full hyperopic correction glasses for half a year due to
      various subjective and objective factors, a good postoperative effect can be
      obtained if the patients receive surgery after wearing full hyperopic correction 
      glasses for 1 year.
FAU - Jiang, Danni
AU  - Jiang D
AD  - The Second Hospital of Dalian Medical University, Dalian, Liaoning, China.
FAU - Han, Dong
AU  - Han D
FAU - Zhang, Jiahuan
AU  - Zhang J
FAU - Pei, Tianxu
AU  - Pei T
FAU - Zhao, Qi
AU  - Zhao Q
LA  - eng
PT  - Clinical Study
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Accommodation, Ocular
MH  - Child
MH  - Child, Preschool
MH  - China
MH  - Esotropia/diagnosis/*surgery
MH  - *Eyeglasses
MH  - Female
MH  - Humans
MH  - Male
MH  - Ophthalmologic Surgical Procedures
MH  - Outcome Assessment (Health Care)
MH  - Preoperative Care/instrumentation/methods
MH  - Refraction, Ocular
MH  - Time Factors
MH  - Vision Tests
MH  - Visual Acuity
EDAT- 2018/05/10 06:00
MHDA- 2018/05/16 06:00
CRDT- 2018/05/10 06:00
PHST- 2018/05/10 06:00 [entrez]
PHST- 2018/05/10 06:00 [pubmed]
PHST- 2018/05/16 06:00 [medline]
AID - 10.1097/MD.0000000000010619 [doi]
AID - 00005792-201805110-00017 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 May;97(19):e0619. doi: 10.1097/MD.0000000000010619.