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M. A. Hussein, D. R. Weakley; Long Term Outcomes, in Different Degrees of Compliance With Wearing Spectacles, in Children With Accommodative Esotropia. Invest. Ophthalmol. Vis. Sci. 2009;50(13):1995.
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© ARVO (1962-2015); The Authors (2016-present)
The aim of this study is to evaluate, retrospectively, the long term outcome of children with accommodative esotropia, who are not compliant with wearing their spectacles.
We reviewed the charts of patients who had a diagnosis of accommodative esotropia , had at least 3 diopters of hyperopia , and who had at least one year of follow up. We divided patients according to the degree of compliance with wearing spectacles into good , fair , and poor compliance.The main outcome measures for treatment were the sensory and motor outcomes.
Ninety two patients met our inclusion criteria. The mean follow up was 61.4 months (from 12 to 200 months).When comparing patients with good compliance to those with fair compliance, fair compliance was associated with significant higher risk for poor sensory outcome (Odd Ratio 4.5507, 95% CI from 2.1 to 24.7, P value = 0.0003 ), and poor motor outcome (Odd Ratio, 4.11, 95% CI from 1.44 to 11.75, P value = 0.0065). When comparing patients with good compliance to those with poor compliance, poor compliance was associated with higher risk for poor sensory outcome (Odd Ratio, 12.3236, 95% CI from 1.29 to 96.79, P value = 0.0061) and motor outcome(Odd Ratio, 11.6644, 95% CI from 2.38 to 74.19, P value = 0.0006 )
Our results underscore the importance of finding alternative ways for managing non-compliant children with accommodative esotropia.
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