Accommodative esotropia Clinical Observation.docVIP

 PAGE \* MERGEFORMAT 8 Accommodative esotropia Clinical Observation Keywords:: strabismus Accommodative esotropia esotropia belonging to one of comitant strabismus, also called the refractive accommodative esotropia esotropia, due to the excessive hyperopic refractive errors converge too strong convergence adjustment provoked by the formation of esotropia. More common in hyperopic eyes of young children, more than those who complete adjustability of 2 ~ 3 years old when, 80% associated with moderate hyperopia (3.00 ~ 7.00D), because the moderate hyperopia, the enhanced regulation that is able to see, but due to high hyperopia level too deep, even with increased regulation, it is hard to see the purpose, it does not occur in more oblique. But the far-sightedness caused by accommodative esotropia is not the only factor, because 92% of patients with hyperopia no internal oblique and internal oblique another 4% of patients with myopia. The integration of the mechanism due to a child when the development has not yet improved and consolidated, there is the habit of depending on things too close or have astigmatism, refractive interstitial turbid or insufficient lighting, ranging from binocular vision (anisometropia) can occur within the ramp, AC / A ratio of normal. Fully accommodative esotropia with timely and adhere to wearing glasses, and an integrated training, not only within the ramp access to control and visually impaired can also be, the incidence of early correction of refractive errors attention to the trainers can be cured [1 ~ 2]. A clinical data 1.1 General Information comitant esotropia in children with refractive errors are a more complete record of 22 cases 44. Ages ranged from 2 to 16 years. 1.2 Examination and treatment (1) to first teach vision, strive for cooperation, repeated three times to take the average check. (2) cover test, check the spokes converge function and eye movement. (3) search fundus were observe