Clinical Characteristics and Analysis of Spontaneous Consecutive Exotropia in Children with Refractive Accommodative Esotropia.

Q3 Medicine
Aysel Pelit, Nazife Sefi Yurdakul
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引用次数: 0

Abstract

Objectives: To assess the clinical characteristics and risk factors associated with spontaneous consecutive exotropia (ScXT) in children diagnosed with refractive accommodative esotropia (RAET).

Materials and methods: A retrospective analysis of medical records was conducted on 19 patients who demonstrated a spontaneous transition from RAET to exotropia (XT). Patients who received strabismus surgery or botulinum toxin injection were excluded from the study. The control group consisted of 31 age-matched patients with RAET who demonstrated successful optical alignment at both near and distance. The ophthalmological examination findings of the study and control groups were compared. Independent two-sample t-test and Pearson's chi-square test were used to evaluate the data of the patients.

Results: The study examined patients diagnosed with RAET who developed consecutive XT. Among them, 15 (78.9%) were female and 4 (21.1%) were male. The mean age at esotropia (ET) onset was 22.68 months (standard deviation [SD]: 12.91). The control group consisted of 16 (51.6%) female and 15 (48.4%) male patients, with a mean age at ET onset of 25.09 months (SD: 15.47). Mean age at onset did not differ between the groups (p=0.55). The mean interval between ET onset and appearance of XT was 7.53 years (SD: 1.49). Cycloplegic refraction measurements taken during the initial examination indicated that the study group exhibited greater degrees of hypermetropia in their right (p=0.01) and left (p=0.04) eyes than did the control group. Furthermore, the incidence of inferior oblique muscle overaction was higher among the study group (p=0.03).

Conclusion: The findings indicate that patients with high hypermetropic refraction values should be monitored for an extended period due to the increased risk of developing subsequent XT. Concomitant inferior oblique overaction can increase the risk of ScXT.

屈光调节性内斜视儿童自发性连续外斜视的临床特点及分析。
目的:评估诊断为屈光调节性内斜视(RAET)的儿童自发性连续外斜视(ScXT)的临床特征和相关危险因素。材料与方法:回顾性分析19例由RAET自发转变为外斜视(XT)患者的医疗记录。接受斜视手术或注射肉毒杆菌毒素的患者被排除在研究之外。对照组由31名年龄匹配的RAET患者组成,他们在近距离和远处都表现出成功的光学对准。比较研究组和对照组的眼科检查结果。采用独立双样本t检验和Pearson卡方检验对患者资料进行评价。结果:该研究检查了诊断为RAET并进行连续x光治疗的患者。其中女性15例(78.9%),男性4例(21.1%)。内斜视(ET)发病平均年龄为22.68个月(标准差[SD]: 12.91)。对照组女性16例(51.6%),男性15例(48.4%),ET发病平均年龄25.09个月(SD: 15.47)。两组间平均发病年龄无差异(p=0.55)。ET发病至XT出现的平均时间间隔为7.53年(SD: 1.49)。在初次检查时进行的单眼麻痹性屈光测量表明,研究组右眼(p=0.01)和左眼(p=0.04)的远视程度高于对照组。此外,研究组的下斜肌过度活动发生率较高(p=0.03)。结论:研究结果表明,由于高远视屈光值的患者发生后续XT的风险增加,应延长监测时间。伴随的下斜肌过度活动可增加ScXT的风险。
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来源期刊
Turkish Journal of Ophthalmology
Turkish Journal of Ophthalmology Medicine-Ophthalmology
CiteScore
2.20
自引率
0.00%
发文量
0
期刊介绍: The Turkish Journal of Ophthalmology (TJO) is the only scientific periodical publication of the Turkish Ophthalmological Association and has been published since January 1929. In its early years, the journal was published in Turkish and French. Although there were temporary interruptions in the publication of the journal due to various challenges, the Turkish Journal of Ophthalmology has been published continually from 1971 to the present. The target audience includes specialists and physicians in training in ophthalmology in all relevant disciplines.
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