Impact of prolonged digital device use on acquired comitant esotropia: ACE-DD study 2.

IF 2.1 3区医学 Q2 OPHTHALMOLOGY

Japanese Journal of Ophthalmology Pub Date : 2025-03-01 Epub Date: 2025-03-17 DOI:10.1007/s10384-025-01171-w

Hirohito Iimori, Noriko Nishikawa, Sachiko Nishina, Tomoyo Yoshida, Takafumi Mori, Osamu Hieda, Akiko Hikoya, Miwa Komori, Shion Hayashi, Takashi Negishi, Toshiaki Goseki, Yoshiko Sugiyama, Akiko Kimura, Takeshi Morimoto, Yukiko Shimizu, Tamami Shimizu, Yoshimi Yokoyama, Hiroko Suzuki, Sadao Suzuki, Noriyuki Azuma, Miho Sato

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引用次数: 0

Abstract

Purpose: To investigate changes in strabismus angles in children and young adult patients with recent onset of constant acquired comitant esotropia (ACE) following instructions on hand-held digital devices (DD).

Study design: Prospective multicenter non-randomized interventional study.

Methods: This study included subjects aged 5-35 years who developed ACE within 1 year. Subjects were divided into two groups: (i) subjects who used DD for an average of ≥120 minutes/day for junior high-school students and older and ≥60 minutes/day for primary-school students and younger (DD+); and (ii) subjects who used DD for less than that (DD-) based on the questionnaire at the study's start. During the initial visit, glasses were prescribed when necessary; verbal instructions on DD use including time reduction and viewing-distance elongation were provided. For each group, strabismus angles at the initial visit and at 3 months were compared. Cure was defined as esophoria within 8 prism diopters without symptoms.

Results: In total, 181 cases were investigated. At baseline, strabismus angles in DD+ and DD- groups were 23±14 PD and 25±15 PD at near and 25±13 PD and 27±14 PD at distance, respectively. At 3 months, they were 22±16 PD and 25±15 PD at near and 23±14 PD and 27±13 PD at distance, respectively. Only in the DD+ group, reduction in strabismus angle was observed, but this was not clinically significant. Ten and 1 subjects in DD+ and DD- groups were cured.

Conclusion: Although changes in strabismus angles were not large enough, DD use instructions were beneficial for some ACE subjects.

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长时间使用数码设备对获得性共同性内斜视的影响：ACE-DD研究2。

目的：探讨儿童和青年成人新近发病的持续性获得性共同性内斜视（ACE）患者在手持数码设备（DD）指导下斜视角度的变化。研究设计：前瞻性多中心非随机干预性研究。方法：本研究纳入了年龄在5-35岁、1年内发生ACE的受试者。受试者分为两组：(i)初中生及以上受试者平均使用DD≥120分钟/天，小学生及以下受试者平均使用DD≥60分钟/天（DD+）；（ii）根据研究开始时的问卷调查，使用DD的时间少于（DD-）的受试者。初次就诊时，必要时配戴眼镜；口头指导DD的使用，包括减少时间和延长观看距离。比较两组患者首次访视时和3个月时的斜视角度。治疗定义为在8棱镜屈光度内无症状的食管。结果：共调查181例。基线时，DD+组和DD-组近距离斜视角度分别为23±14 PD和25±15 PD，远距离斜视角度分别为25±13 PD和27±14 PD。3个月时，近距离分别为22±16 PD和25±15 PD，远距离分别为23±14 PD和27±13 PD。只有DD+组观察到斜斜角降低，但无临床意义。DD+组治愈10例，DD-组治愈1例。结论：虽然斜视角度变化不大，但对于部分ACE患者，DD使用指导是有益的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Japanese Journal of Ophthalmology 医学-眼科学

CiteScore

4.80

自引率

8.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The Japanese Journal of Ophthalmology (JJO) was inaugurated in 1957 as a quarterly journal published in English by the Ophthalmology Department of the University of Tokyo, with the aim of disseminating the achievements of Japanese ophthalmologists worldwide. JJO remains the only Japanese ophthalmology journal published in English. In 1997, the Japanese Ophthalmological Society assumed the responsibility for publishing the Japanese Journal of Ophthalmology as its official English-language publication. Currently the journal is published bimonthly and accepts papers from authors worldwide. JJO has become an international interdisciplinary forum for the publication of basic science and clinical research papers.