Refractive error changes in children with intermittent exotropia under overminus lens therapy

Detalhes bibliográficos
Autor(a) principal: Paula,Jayter Silva de
Data de Publicação: 2009
Outros Autores: Ibrahim,Fuad Moraes, Martins,Marcia Clivati, Bicas,Harley Edison Amaral, Cruz,Antonio Augusto Velasco e
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos brasileiros de oftalmologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492009000600002
Resumo: PURPOSE: Intermittent exotropia may be decreased by stimulation of accommodative convergence. Once excessive accommodation has been related to myopia, our objective was to evaluate refractive errors changes in children under overcorrecting minus lens therapy. METHODS: A retrospective chart review of 21 children with intermittent exotropia was performed. All patients were treated with occlusion, and a 13-patient subset of them received overminus lens therapy (group A). Eight children received spectacles as necessary (group B). Initial age, age interval, initial spherical equivalent (SE), and magnitude of overcorrection were considered as co-variables of the mean variation in refractive error (SE of each eye) between groups, through a multivariate analysis. RESULTS: Overcorrection used in group A ranged from 0.5 D to 3.5 D (2.46 ± 0.87 D). Although initial SE of each eye was significant different between group A and B (OD - p=0.02; OS - p=0.01), initial age (p=0.69), age interval (p=0.90), and mean variation in refractive errors (p=0.36) did not differ between groups. Multivariate analysis with linear regression showed no significantly difference regarding all co-variables enrolled. CONCLUSIONS: Treatment of intermittent exotropia with overcorrecting minus lens did not induce refractive errors changes, even considering age, treatment period, initial spherical equivalent and overcorrection magnitude used.
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spelling Refractive error changes in children with intermittent exotropia under overminus lens therapyExotropiaEyeglassesMyopiaRefractive errorStrabismusPURPOSE: Intermittent exotropia may be decreased by stimulation of accommodative convergence. Once excessive accommodation has been related to myopia, our objective was to evaluate refractive errors changes in children under overcorrecting minus lens therapy. METHODS: A retrospective chart review of 21 children with intermittent exotropia was performed. All patients were treated with occlusion, and a 13-patient subset of them received overminus lens therapy (group A). Eight children received spectacles as necessary (group B). Initial age, age interval, initial spherical equivalent (SE), and magnitude of overcorrection were considered as co-variables of the mean variation in refractive error (SE of each eye) between groups, through a multivariate analysis. RESULTS: Overcorrection used in group A ranged from 0.5 D to 3.5 D (2.46 ± 0.87 D). Although initial SE of each eye was significant different between group A and B (OD - p=0.02; OS - p=0.01), initial age (p=0.69), age interval (p=0.90), and mean variation in refractive errors (p=0.36) did not differ between groups. Multivariate analysis with linear regression showed no significantly difference regarding all co-variables enrolled. CONCLUSIONS: Treatment of intermittent exotropia with overcorrecting minus lens did not induce refractive errors changes, even considering age, treatment period, initial spherical equivalent and overcorrection magnitude used.Conselho Brasileiro de Oftalmologia2009-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492009000600002Arquivos Brasileiros de Oftalmologia v.72 n.6 2009reponame:Arquivos brasileiros de oftalmologia (Online)instname:Conselho Brasileiro de Oftalmologia (CBO)instacron:CBO10.1590/S0004-27492009000600002info:eu-repo/semantics/openAccessPaula,Jayter Silva deIbrahim,Fuad MoraesMartins,Marcia ClivatiBicas,Harley Edison AmaralCruz,Antonio Augusto Velasco eeng2010-01-19T00:00:00Zoai:scielo:S0004-27492009000600002Revistahttp://aboonline.org.br/https://old.scielo.br/oai/scielo-oai.phpaboonline@cbo.com.br||abo@cbo.com.br1678-29250004-2749opendoar:2010-01-19T00:00Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)false
dc.title.none.fl_str_mv Refractive error changes in children with intermittent exotropia under overminus lens therapy
title Refractive error changes in children with intermittent exotropia under overminus lens therapy
spellingShingle Refractive error changes in children with intermittent exotropia under overminus lens therapy
Paula,Jayter Silva de
Exotropia
Eyeglasses
Myopia
Refractive error
Strabismus
title_short Refractive error changes in children with intermittent exotropia under overminus lens therapy
title_full Refractive error changes in children with intermittent exotropia under overminus lens therapy
title_fullStr Refractive error changes in children with intermittent exotropia under overminus lens therapy
title_full_unstemmed Refractive error changes in children with intermittent exotropia under overminus lens therapy
title_sort Refractive error changes in children with intermittent exotropia under overminus lens therapy
author Paula,Jayter Silva de
author_facet Paula,Jayter Silva de
Ibrahim,Fuad Moraes
Martins,Marcia Clivati
Bicas,Harley Edison Amaral
Cruz,Antonio Augusto Velasco e
author_role author
author2 Ibrahim,Fuad Moraes
Martins,Marcia Clivati
Bicas,Harley Edison Amaral
Cruz,Antonio Augusto Velasco e
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Paula,Jayter Silva de
Ibrahim,Fuad Moraes
Martins,Marcia Clivati
Bicas,Harley Edison Amaral
Cruz,Antonio Augusto Velasco e
dc.subject.por.fl_str_mv Exotropia
Eyeglasses
Myopia
Refractive error
Strabismus
topic Exotropia
Eyeglasses
Myopia
Refractive error
Strabismus
description PURPOSE: Intermittent exotropia may be decreased by stimulation of accommodative convergence. Once excessive accommodation has been related to myopia, our objective was to evaluate refractive errors changes in children under overcorrecting minus lens therapy. METHODS: A retrospective chart review of 21 children with intermittent exotropia was performed. All patients were treated with occlusion, and a 13-patient subset of them received overminus lens therapy (group A). Eight children received spectacles as necessary (group B). Initial age, age interval, initial spherical equivalent (SE), and magnitude of overcorrection were considered as co-variables of the mean variation in refractive error (SE of each eye) between groups, through a multivariate analysis. RESULTS: Overcorrection used in group A ranged from 0.5 D to 3.5 D (2.46 ± 0.87 D). Although initial SE of each eye was significant different between group A and B (OD - p=0.02; OS - p=0.01), initial age (p=0.69), age interval (p=0.90), and mean variation in refractive errors (p=0.36) did not differ between groups. Multivariate analysis with linear regression showed no significantly difference regarding all co-variables enrolled. CONCLUSIONS: Treatment of intermittent exotropia with overcorrecting minus lens did not induce refractive errors changes, even considering age, treatment period, initial spherical equivalent and overcorrection magnitude used.
publishDate 2009
dc.date.none.fl_str_mv 2009-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492009000600002
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492009000600002
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0004-27492009000600002
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
dc.source.none.fl_str_mv Arquivos Brasileiros de Oftalmologia v.72 n.6 2009
reponame:Arquivos brasileiros de oftalmologia (Online)
instname:Conselho Brasileiro de Oftalmologia (CBO)
instacron:CBO
instname_str Conselho Brasileiro de Oftalmologia (CBO)
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institution CBO
reponame_str Arquivos brasileiros de oftalmologia (Online)
collection Arquivos brasileiros de oftalmologia (Online)
repository.name.fl_str_mv Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)
repository.mail.fl_str_mv aboonline@cbo.com.br||abo@cbo.com.br
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