Partly accommodative XXXX . Should you overcorrect and cut the plus?

@entity1 @entity3467 @entity5971
OBJECTIVES: To investigate the long-term motor stability and sensory outcome of @entity1 with partly accommodative @entity5971 who were overcorrected surgically and in whom the hyperopic correction was reduced postoperatively, and to determine if those results depended on the amount of @entity3467 present. DESIGN: A 15-year prospective study that analyzed 5-year outcome. @entity1 whose @entity5971 was not initially overcorrected were used as controls. @entity1 : Of 382 @entity1 who underwent surgery for partly accommodative @entity5971 , 22 were surgically overcorrected and were followed up for 5 years. RESULTS: Of the eight @entity1 in the study group with 2.5 diopters or less of @entity3467 in their fixing eye, seven had good motor alignment compared with four of 14 @entity1 who had more than 2.5 diopters of @entity3467 . Ninety-one percent (148/163) of the control @entity1 who had greater than 2.5 diopters of @entity3467 maintained good motor alignment 5 years after surgery compared with 29% of the study group @entity1 . This difference was statistically significant. Of the eight study @entity1 with less than 2.5 diopters of @entity3467 , five developed good stereopsis compared with one of 14 @entity1 with greater @entity3467 . CONCLUSIONS: Surgical overcorrection in @entity1 with partly accommodative @entity5971 with greater than 2.5 diopters of @entity3467 may not be reversible by postoperative reduction in the hyperopic correction. It often is reversible, however, in @entity1 with 2.5 diopters or less of @entity3467 .
