Effect of optical correction on the stereopsis of patients with refractive accommodative esotropia and factors affecting it Artykuł oryginalny

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Opublikowane: lip 17, 2026
DOI: https://doi.org/10.24292/01.OT.030726
Słowa kluczowe:
depth perception, esotropia, esodeviation, refractive error, stereoscopic vision

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Rabia Jabeen
Al-Shifa Trust Eye Hospital, Rawalpindi, Pakistan
https://orcid.org/0009-0005-7826-1520
Maryam Firdous
Al-Shifa Trust Eye Hospital, Rawalpindi, Pakistan
https://orcid.org/0000-0001-7352-4313
Farah Naheed
Al-Shifa Trust Eye Hospital, Rawalpindi, Pakistan
https://orcid.org/0000-0003-2137-3917
Saif Ullah
Al-Shifa Trust Eye Hospital, Rawalpindi, Pakistan
https://orcid.org/0000-0003-3254-5585
Rimsha Tanveer Kiyani
Al-Shifa Trust Eye Hospital, Rawalpindi, Pakistan
https://orcid.org/0009-0002-8684-5145
Sadaf Qayyum
Al-Shifa Trust Eye Hospital, Rawalpindi, Pakistan
https://orcid.org/0000-0002-7937-5184

Abstrakt

Objectives: To evaluate the effect of glasses on stereo acuity in patients presenting with refractive accommodative esotropia.


Methods: A cross-sectional study was conducted in the orthoptics department of a tertiary eye care hospital from October 2021 to January 2022. 45 patients diagnosed with refractive accommodative esotropia were included. Visual acuity, angle of deviation, and stereo acuity using the Titmus Fly test were measured. Data were analyzed using (statistical package for the social sciences) version 26.


Results: Mean stereo acuity without refractive correction was 634.22 (±681.89) and with correction was 295.56 (±218.71). A statistically significant improvement was seen in stereopsis with the spectacles (P = 0.001), and a significant association between history of patching therapy (P = 0.00) and angle of deviation (P = 0.02) with stereopsis before the optical correction was found.


Conclusions: In refractive accomodative esotropia, stereopsis improved after wearing full optical correction. The decreased stereo acuity was associated with a history of patching therapy, as a result of the patients’ late presentation in seeking care. Improvement in stereopsis is dependent on suitable treatment, like full spectacle correction and patching therapy for amblyopia in refractive accomodative esotropia. The near angle of deviation also showed a significant association with stereopsis before optical correction.

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Jabeen R, Firdous M, Naheed F, Ullah S, Tanveer Kiyani R, Qayyum S. Effect of optical correction on the stereopsis of patients with refractive accommodative esotropia and factors affecting it. Ophthatherapy [Internet]. 17 lipiec 2026 [cytowane 26 lipiec 2026];00:A0008. Dostępne na: https://www.journalsmededu.pl/index.php/ophthatherapy/article/view/3273
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Utwór dostępny jest na licencji Creative Commons Uznanie autorstwa – Użycie niekomercyjne – Bez utworów zależnych 4.0 Międzynarodowe.

Copyright: Medical Education sp. z o.o. License allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.

Address reprint requests to: Medical Education, Marcin Kuźma (marcin.kuzma@mededu.pl)

Bibliografia

1. Rowe FJ. Clinical Orthoptics. 1st ed. Wiley, 2012.
2. Howard IP, Rogers BJ. Binocular Vision and Stereopsis. Oxford University Press, 1996.
3. Borish’s clinical refraction. 2nd ed. Benjamin WJ, Borish IM (eds.). Butterworth Heinemann/Elsevier, St. Louis Mo 2006.
4. Mohamed I, Naveed F, Burhan T et al. Comparision of streopsis in patients with fully and partially accommodative esotropia. Ophthalmology Pakistan. 2019; 9(3): 18-22.
5. Salmon JF, Kanski JJ. Kanski’s clinical ophthalmology: A systematic approach. Elsevier, Edinburgh 2020.
6. Von Noorden GK, Campos EC. Binocular vision and ocular motility: theory and management of strabismus. 6th ed. St. Louis, Mo., Mosby; 2002. 653 p.
7. Rajasekaran R, Ramesh MK, Balagopal A et al. Prevalence of various types of strabismus among patients attending a Tertiary Eye Care Hospital at tiruchirappalli. Jemds. 2018; 7(52): 5484-7. http://doi.org/10.14260/jemds/2018/1213.
8. Fieß A, Elflein HM, Urschitz MS et al. Prevalence of strabismus and its impact on vision-related quality of life. Ophthalmology. 2020; 127(8): 1113-22. http://doi.org/10.1016/j.ophtha.2020.02.026.
9. Blair E, Smithers‐Sheedy H; The Australian Cerebral Palsy Register Group. Strabismus, a preventable barrier to social participation: A short report. Develop Med & Child Neuro. 2016; 58(S2): 57-9. http://doi.org/10.1111/dmcn.13020.
10. Kennedy SA, Noble J, Wong AMF. Esotropia. CMAJ. 2012; 184(11): 1279. http://doi.org/10.1503/cmaj.111566.
11. Mulvihill A, MacCann A, Flitcroft I et al. Outcome in refractive accommodative esotropia. Br J Ophthalmol. 2000; 84(7): 746-9. http://doi.org/10.1136/bjo.84.7.746.
12. Iqbal I, Saeed R, Bajwa JA et al. Stereopsis in patients of refractive accomodative Esotropia. AOVS. 2019; 9(3): 66-9. http://doi.org/10.15406/aovs.2019.09.00348.
13. Guclu H. Prognostic factors for stereopsis in refractive accomodative esotropia. Pak J Med Sci. 2015; 31(4): 807-11. http://doi.org/10.12669/pjms.314.7465.
14. Olitsky SE, Chan EW, Farzavandi S. Strabismus: Accommodative esotropia. American Academy of Ophthalmology. 2016.
15. Wilson ME, Bluestein EC, Parks MM. Binocularity in Accommodative Esotropia. J Pediatr Ophthalmol Strabismus. 1993; 30(4): 233-6. http://doi.org/10.3928/0191-3913-19930701-04.
16. Swan KC. Accommodative esotropia long range follow-up. Ophthalmology. 1983; 90(10): 1141-5. http://doi.org/10.1016/s0161-6420(83)34415-8.
17. Köse S, Pamukçu K, Haznedaroĝlu G. Qualitative and quantitative evaluation of binocular function in accommodative esotropia using pattern reversal visual evoked responses (VER). Neuro-Ophthalmology. 1993; 13(5): 275-9. http://doi.org/10.3109/01658109309038162.
18. Poggio G. The analysis of stereopsis. Annu Rev Neurosci. 1984; 7(1): 379-412. http://doi.org/10.1146/annurev.neuro.7.1.379.
19. Matsuo T, Yamane T, Fujiwara H et al. Predictive factors for long-term outcome of stereoacuity in Japanese patients with pure accommodative esotropia. Strabismus. 2005; 13(2): 79-84. http://doi.org/10.1080/09273970590935084.
20. Azam S, Talpur AH, Bukhari S et al. Stereopsis in accommodative esotropia at Al-Ibrahim Eye Hospital, Karachi, Pakistan. Acta Scientific Ophthalmology. 2021; 4(4): 85-8.
21. Berk AT, Koçak N, Ellidokuz H. Treatment outcomes in refractive accommodative esotropia. J AAPOS. 2004; 8(4): 384-8. http://doi.org/10.1016/j.jaapos.2004.02.001.
22. Uretmen O, Kose S, Oztas Z et al. Factors influencing stereoacuity in refractive accommodative esotropia. Can J Ophthalmol. 2007; 42(4): 600-4. http://doi.org/10.3129/i07-100.
23. Fawcett S, Leffler J, Birch EE. Factors influencing stereoacuity in accommodative esotropia. J AAPOS. 2000; 4(1): 15-20. http://doi.org/10.1016/s1091-8531(00)90006-5.
24. Bayar SA, Ozturker ZK, Ulas B et al. Factors affecting binocular sensorial function in accomodative esotropia. Beyoglu Eye J. 2021; 6(3): 166-72. http://doi.org/10.14744/bej.2021.77598.
25. Iqbal MS, Hussain SA, Qazi ZU. Refractive accommodative esotropia; TPMJ. 2013; 20(02): 301-7. http://doi.org/10.29309/tpmj/2013.20.02.630.
26. Çakır B, Bursalı Ö, Özmen S et al. Factors influencing stereopsis in patients with both refractive accommodative esotropia and Amblyopia. Int Ophthalmology. 2018; 39(6): 1263-7. http://doi.org/10.1007/s10792-018-0937-8.