To evaluate stereoacuity in patients with acquired esotropia and to determine factors associated with favourable outcomes

Abstract

Aim: To evaluate stereoacuity in patients with acquired esotropia and determine the factors associated with favorable outcomes. Materials and Methods: A total of 68 subjects aged 6 years and above were included in the study. Thorough clinical evaluation including binocular status examination using the Bagolini-striated glass test, The Netherland Organization (TNO), and Randot stereo test were done. The subjects were divided into two groups 1 and 2, based on the amount of deviation. Statistical analysis of the result was performed. Result: The duration of misalignment in the group with deviation less than or equal to 8 prism diopters (PD) was 1.49 ± 0.86 years, whereas in the group with deviation more than or equal to 10 PD was 4.64 ± 2.99 years (P = 0.000). Among the subjects in group 1, 89.5% achieved fusion and 52.6% had stereoacuity on both TNO and Randot, whereas in group 2 40% achieved fusion and 3.3% stereopsis on both TNO and Randot (one case with only coarse stereopsis). A subanalysis within group 1 revealed a statistically significant difference for the duration of misalignment (P = 0.02), but a marginal difference for the amount of deviation (P = 0.3). Conclusion: A horizontal deviation up to 8 PD was compatible with stereopsis. Also, the duration of constant misalignment affects the attainment of stereopsis despite successful realignment.

Keywords

• Color Doppler imaging
• hypertensive retinopathy
• resistive index
• Conjunctival graft
• primary pterygium
• recurrent pterygium
• Intraocular pressure
• singleton pregnancy
• the number of fetuses
• twin pregnancy
• Accommodation
• agreement
• amplitude of accommodation
• push-up method
• Intraocular lens
• non-sclera flap
• transscleral pars plana suture fixation
• Axial length
• formulas
• lens
• power
• short eyes
• Acquired esotropia
• favourable outcome
• stereopsis