Binocularity in refractive accommodative esotropia

WOS: 000177062200010PubMed: 12148556Purpose: 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. Conclusion: In patients with refractive accommodative esotropia, the prognosis is not favorable for restoration of normal stereopsis, even if orthotropia is achieved