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American Orthoptic Journal AbstractTo request a single copy of any journal article, contact us at: 608 263-0654 (voice), or journals@wwwtest.uwpress.wisc.edu (email). Articles will be photocopied and mailed within two business days. Please prepay with VISA or MasterCard. Articles up to 29 pages in length are priced at $15.00. Articles containing 30 or more pages are priced at $25.00. For article reprints in quantities of 25-500 please use our online reprint ordering system by clicking Reprint Orders.
Volume 46, 1996, p. 29–33 The "Accomplice" - Accommodative Esotropia (Abstract) Accommodative esotropia can be divided into three categories: refractive, abnormal AC:A ratio, and a combination group. Though small in number, patients with esotropia associated with myopia, or with a low AC:A ratio should not be overlooked.
Successful non-surgical treatment of accommodative esotropia depends upon accurate determination and appropriate correction of the refractive error, and also careful assessment of the AC:A ratio. Non-surgical treatment may be as simple as glasses alone to provide good alignment and fusion, or may include additional bifocal lenses, miotics, or orthoptic exercises. Non-surgical treatment is considered successful if fusion is achieved. Unfortunately, 13% of patients have been reported to deteriorate, whereby the esotropia increases and fusion is lost after a period of successful nonsurgical treatment. Such patients require prompt prism adaptation and surgery to restore the previous state of good alignment and fusion. |
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