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Journal of Ophthalmology - Volume 2014 2014, Article ID 927839, 3 pages -

Research Article

Department of Ophthalmology, Kim’s Eye Hospital, Konyang University College of Medicine, Youngdeungpo 4th 156, Youngdeungpo-gu, Seoul 150-034, Republic of Korea

Department of Ophthalmology, Konyang University College of Medicine, Daejeon 302-718, Republic of Korea

Received 16 August 2014; Accepted 14 October 2014; Published 10 November 2014

Academic Editor: Edward Manche

Copyright © 2014 Ungsoo Samuel Kim. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. To investigate the psychophysiologic aspects of refractive accommodative esotropia RAE. Methods. I prospectively recruited patients aged 3–6 years with more than 3.0 diopters of hyperopia who presented at Kim’s Eye Hospital from January 2011 to March 2013. I compared Korean Child Behavior Checklist K-CBCL which consists of internalizing factors social withdrawal, somatic complaints, anxiety, and depression and externalizing factors social problems, thought problems, attention problems, delinquent behavior, and aggressive behavior between RAE group and control group. Results. Two out of three internalizing indexes were significantly different between groups somatic complaints: RAE children and controls ; depression-anxiety: RAE children and controls . Although there was no significant difference, RAE children scored slightly higher on the externalizing behavior index. In the RAE group, the far angle of esodeviation showed a moderate correlation with withdrawn behaviors. Conclusion. Hypermetropic children with high scores on the somatic complaint and depression-anxiety subscales of the CBCL could be at high risk for developing RAE. Psychosocial problems might be related to the pathogenesis of refractive accommodative esotropia.

Autor: Ungsoo Samuel Kim



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