婴儿屈光调节性内斜视患者的长期临床结果

IF 0.1 Q4 OPHTHALMOLOGY
Hyemi Shin, Suk Gyu Ha, Young-Woo Suh, Seung-Hyun Kim
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Patients in both groups who underwent reoperations after diagnosis of partially accommodative esotropia (PAET) and recurrent IET during follow-up were analyzed.Results: Sixty-nine patients (40 with RAET and 29 with IET) were included. The follow-up period was 69.48 ± 28.41 months. At the final visit, the angles of esodeviation were 2.82 ± 5.46 prism diopters (PD) in the RAET group and 9.28 ± 8.37 PD in the IET group (<i>p</i> < 0.01). In IET patients who underwent surgery before and after 24 months of age, the angles of esodeviation were 4.62 ± 5.25 and 13.06 ± 8.63 PD and the median near-stereopsis values 60 and 140 arcsec at the final visit (<i>p</i> < 0.01, 0.03). 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引用次数: 0

摘要

目的:比较屈光调节性内斜视(RAET)和婴儿型内斜视(IET)的长期临床疗效。方法:回顾性分析RAET和IET患者随访36个月以上的病历资料。RAET患者配戴眼镜矫正睫状体麻痹性屈光,而IET患者则接受双侧内侧直肌收缩。在每次就诊时测量视力、屈光、远近视偏角和近立体视。IET患者按手术时间(24个月前和24个月后)分为两组。分析两组患者在诊断为部分调节性内斜视(PAET)和随访期间复发性内斜视后再次手术的患者。结果:纳入69例患者(RAET 40例,IET 29例)。随访时间69.48±28.41个月。末次访视时,RAET组内偏角为2.82±5.46棱镜屈光度(PD), IET组为9.28±8.37棱镜屈光度(<i>p</i>& lt;0.01)。在24月龄前和24月龄后接受手术的IET患者,内偏角分别为4.62±5.25和13.06±8.63 PD,末次访视时近立体视值中位数分别为60和140 arcsec (<i>p</i>& lt;0.01, 0.03)。RAET组7例(17.5%),IET组2例(15.4%)和10例(62.5%)在24月龄前后接受手术的患者需要再手术(<i>p</i>& lt;0.01)。结论:在24月龄前接受手术的RAET和IET患者在最后一次就诊时表现出更好的对位和立体视,且再手术率较晚接受手术的患者低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Long-term Clinical Outcomes of Patients with Infantile and Refractive Accommodative Esotropia
Purpose: To compare the long-term clinical outcomes of patients with refractive accommodative esotropia (RAET) and infantile esotropia (IET).Methods: The medical records of patients with RAET and IET who were followed-up for more than 36 months were retrospectively analyzed. The RAET patients were prescribed spectacles to correct cycloplegic refraction and those with IET underwent bilateral, medial rectus recession. Visual acuity, refraction, the angle of esodeviation at far and near distances, and near-stereopsis were measured at each visit. The IET patients were divided into two groups by the time of surgery (before and after 24 months of age). Patients in both groups who underwent reoperations after diagnosis of partially accommodative esotropia (PAET) and recurrent IET during follow-up were analyzed.Results: Sixty-nine patients (40 with RAET and 29 with IET) were included. The follow-up period was 69.48 ± 28.41 months. At the final visit, the angles of esodeviation were 2.82 ± 5.46 prism diopters (PD) in the RAET group and 9.28 ± 8.37 PD in the IET group (p < 0.01). In IET patients who underwent surgery before and after 24 months of age, the angles of esodeviation were 4.62 ± 5.25 and 13.06 ± 8.63 PD and the median near-stereopsis values 60 and 140 arcsec at the final visit (p < 0.01, 0.03). Seven patients (17.5%) in the RAET group, and 2 (15.4%) and 10 (62.5%) IET patients who underwent surgery before and after 24 months of age, required reoperations (p < 0.01).Conclusions: RAET and IET patients who underwent surgery before 24 months of age exhibited better alignment and stereopsis at the final visit than those who underwent later surgery and the reoperation rate was lower.
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CiteScore
0.20
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