Clinical Features of Refractive Accommodative Esotropia and Partially Accommodative Esotropia

Purpose: To examine the difference between refractive accommodative esotropia and partially accommodative esotropia retrospectively. Methods: Children with refractive accommodative esotropia and partially accommodative esotropia respectively were included in the study. The features studied were sex, age at the time of presentation, ocular alignment, refractive error, and amblyopia. Results: Seventy-two children with refractive accommodative esotropia and 60 children with partially accommodative esotropia were identified. The age of each group was 40.51±9.63 months and 30.15±16.95 months respectively at the time of presentation. Amounts of esodeviation were 29.40±12.13PD and 44.57± 15.92 PD. Refractive error were +4.59±1.43D and +3.63±1.61D at the time of presentation. Incidence of amblyopia were 31% and 40% at the time of presentation. Refractive error at the final visit were +3.79± 1.37D and +3.18±1.48D. Incidence of amblyopia at the final visit were 11% and 23%. Conclusions: Patients of partially accommodative esotropia showed statistically significantly different features: early onset, large amount of esodeviation, and small refractive errors. Higher incidence of amblyopia was noted at partially accommodative esotropia, but this result was not statistically significant.ope