斜视手术前后视力和双眼视力的对比分析。

Saša Koce, Meliha Halilbašić
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引用次数: 0

摘要

双眼视觉是指两只眼睛同时聚焦在一个物体上,从而产生单一视觉图像的能力。虽然双目功能的缺乏在婴儿中是正常的,但在儿童和成人中并非如此,因为有良好的深度知觉是必要的。本文的目的是展示斜视手术后的双眼视力结果。为此,我们利用了2017年2月至2023年2月期间在图兹拉眼科诊所进行首次斜视手术的72名患者的医疗记录。分析术前偏差、诊断、双眼功能、视力、年龄等影响手术成功的因素。为了评估研究的既定目标,采用卡方检验、Wilcoxon配对对符号秩检验和强制进入的逻辑回归分析。患者分为内斜视组和外斜视组,两组年龄均在7岁以下。7岁以下患者的手术成功率为67.1%,7岁以上患者的手术成功率为81.1%,视力无统计学意义的改善。斜视术后恢复双眼视力的成功率,内斜视为49.3%,外斜视为97.3。影响手术成功率的因素有术前偏差和年龄。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
COMPARATIVE ANALYSIS OF VISUAL ACUITY AND BINOCULAR VISION BEFORE AND AFTER STRABISMUS SURGERY.
Binocular vision is the ability to focus on an object with both eyes simultaneously in order to create a single visual image. Although lack of binocular function is normal in infants, it is not the case in children and adults as it is necessary to have a good depth perception. Aim of this paper was to showcase postoperative binocular vision results after strabismus surgery. For that purpose, we utilized medical records of 72 patients who had their first strabismus surgery done at the Clinic for Eye Diseases in Tuzla between February 2017 and February 2023. Pre-operative deviation, diagnosis, binocular function, visual acuity and age were analyzed as factors that influence the success of the surgery. In order to assess set goals of the research, Chi square test, Wilcoxon matched-pairs signed-rank test and logistic regression analysis with forced entry were used. Patients were divided into two groups, first with esotropy and the second with exotropy, both groups were under the age of 7. Surgery success rate for respondents under the age of 7 was 67.1% and for the respondents over the age of 7 was 81.1% and no statistically significant improvement in visual acuity was observed. Success rate of achiving binocular vision, after strabismus surgery, was 49.3 for esotropy and 97.3 fir exotropy. Factors that influenced success rate were pre-operative deviation and age group.
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