Alterações nos vícios refracionais em crianças com exotropia intermitente submetidas ao tratamento por meio da hipercorreção com lentes negativas

Translated title of the contribution: Refractive error changes in children with intermittent exotropia under overminus lens therapy

Jayter Silva de Paula, Fuad Moraes Ibrahim, Marcia Clivati Martins, Harley Edison Amaral Bicas, Antonio Augusto Velasco e Cruz

Research output: Contribution to journalArticle

Abstract

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.

Original languagePortuguese
Pages (from-to)751-754
Number of pages4
JournalArquivos Brasileiros de Oftalmologia
Volume72
Issue number6
StatePublished - Nov 2009
Externally publishedYes

Fingerprint

Exotropia
Refractive Errors
Lenses
Multivariate Analysis
Myopia
Therapeutics
Group Psychotherapy
Linear Models

Keywords

  • Exotropia
  • Eyeglasses
  • Myopia
  • Refractive error
  • Strabismus

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Alterações nos vícios refracionais em crianças com exotropia intermitente submetidas ao tratamento por meio da hipercorreção com lentes negativas. / de Paula, Jayter Silva; Ibrahim, Fuad Moraes; Martins, Marcia Clivati; Amaral Bicas, Harley Edison; Velasco e Cruz, Antonio Augusto.

In: Arquivos Brasileiros de Oftalmologia, Vol. 72, No. 6, 11.2009, p. 751-754.

Research output: Contribution to journalArticle

de Paula, Jayter Silva ; Ibrahim, Fuad Moraes ; Martins, Marcia Clivati ; Amaral Bicas, Harley Edison ; Velasco e Cruz, Antonio Augusto. / Alterações nos vícios refracionais em crianças com exotropia intermitente submetidas ao tratamento por meio da hipercorreção com lentes negativas. In: Arquivos Brasileiros de Oftalmologia. 2009 ; Vol. 72, No. 6. pp. 751-754.
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abstract = "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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