آقای دکتر علی میرزاجانی(Spectacles Prescription in Accommodative Esotropia)

Spectacles Prescription in Accommodative Esotropia

Associate Professor of Optometry Department

Iran University of Medical Sciences

     Prompt recognition and treatment of accommodative esotropia are critical for successful outcomes

     The mainstay of treatment is spectacles, but other modalities for correction of refractive error, including contact lenses and refractive surgery, may be employed in the chronic phase. Some patients may also require strabismus surgery

     The main goals for treating a child with accommodative esotropia, are to maintain normal visual acuity in both eyes, restore normal ocular alignment and maintain good binocular function. Clearly, achieving these goals is easiest during the early, intermittent stage of the deviation. However, children often present in the office beyond this stage and have developed amblyopia.

     The Mainstay of Treatment Patients with normal AC/A ratio should receive single-vision spectacles initially and patients with high AC/A ratio on the first visit should usually receive flat-top-style bifocal (D-segment) or progressive spectacles from the beginning

      A complete review of these conditions is a complete consideration that The lecture discusses its details