The use of miotic drops in the treatment of accommodative strabismus is widely accepted, when there is present a higher than normal accommodative convergence/accommodation (AC/A) ratio. According to their pharmacological action, the miotics in current use fall into two groups-the anticholinesterases and the parasympathomimetics. Pilocarpine and Carbachol belong to the latter group, and while th...

The use of miotic drops in the treatment of accommodative strabismus is widely accepted, when there is present a higher than normal accommodative convergence/accommodation (AC/A) ratio. According to their pharmacological action, the miotics in current use fall into two groups-the anticholinesterases and the parasympathomimetics. Pilocarpine and Carbachol belong to the latter group, and while th...

PURPOSE To evaluate the clinical results obtained with excimer laser treatment of fully refractive accommodative esotropia. METHODS Fully refractive accommodative esotropia was corrected in 17 patients with laser in situ keratomileusis (LASIK) and in 3 patients with photorefractive keratectomy (PRK). The mean age of the patients at time of refractive surgery was 18.8 years (range 14 to 24 yea...

PURPOSE The concordance of strabismic phenotypes was examined in monozygotic versus multizygotic twins and other multiple births to study the role of genetic background in different types of commitant strabismus. METHODS Medical charts of 45 consecutive pairs of twins (16 monozygotic and 18 dizygotic twins, and 11 with unknown zygosity), 3 sets of triplets (one monozygotic and 2 trizygotic tr...

PURPOSE To investigate the accuracy of spatial localization in children with a specific type of convergent strabismus, fully accommodative esotropia. METHODS Two groups of children, with right and left fully accommodative esotropia, respectively, pointed at targets located centrally and eccentrically on a computer touchscreen without being able to see their hands. The size and the direction o...

PURPOSE To evaluate the effectiveness of a cycloplegic regimen using 0.5% tropicamide and 0.5% phenylephrine (Tropherine, Hanmi Pharm), in addition to 1% cyclopentolate, in hyperopic children. METHODS The medical records of hyperopic patients below the age of 14 years who had undergone cycloplegic retinoscopy were retrospectively reviewed. Cycloplegic refractions were performed using one of t...

INTRODUCTION Potential indications for excimer laser procedures in children include accommodative esotropia, bilateral high ametropia, and severe anisometropia. Treatment of these conditions has traditionally included spectacle or contact lens use. This treatment, however, is often ineffective in children with severe anisometropia or bilateral ametropia, especially those with neuropsychological...