الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
This is a prospective study to evaluate and compare efficacy and safety of augmented surgery with regular surgery MR recession as a weakening approach in partly accommodative esotropia with moderate to high degree of hypermetropia.
Thirty patients in all were located. Esotropia often manifests at a 2.33 year old age. 5.92 years old was the average age. Cycloplegic refraction had an average spherical equivalency of +5.38 diopters (D). All patients had large angle esotropia ranging from 16.0 to 45.0 PD, which was corrected with glasses. It took an average of 9.43 months from the start of esotropia to the correction with glasses. The median interval between eyeglasses prescription and esotropia surgery was 23.2 months. It took an average of 32.54 months from the time persistent esotropia first appeared till esotropia surgery.
Improvement with optical correction is statistically significant regarding the preoperative angle angle of esotropia (p<0.001).87.5% of cases who obtained hyperopic glasses within six months after the commencement of their esotropia experienced statistically significant better sensory fusion, as opposed to 54.5% of cases receiving them at 6 months or more (p = 0.02). When there is a short period of time between the commencement of esotropia and the wearing of hyperopic glasses, there is a statistically significant faster rate of sensory fusion development.
With a low incidence of under-correction or overcorrection, operation for esotropia with significant hypermetropia achieves higher rates of surgical success. There is a tendency for individuals who have successful surgeries to have a higher percentage of sensory fusion.
After surgery, 66.0% of patients experienced sensory fusion of all cases. When surgery was successful (alignment within 10 PD), 72.7% of patients experienced sensory fusion, in comparison with fifty percent of cases who had their outcome overcorrected or under corrected (p=0.18).
22 patients had augmented surgery and 8 patients had regular surgery. Postoperatively, 68.2% of cases have ocular alignment within 10 PD of orthotropia in augmented surgery compared to 50% of patients with regular surgery.