Aaron M. Miller MD , Jonathan M. Holmes BM, BCh , Rui Wu MS , Raymond T. Kraker MSPH , Eric R. Crouch MD , Katherine A. Lee MD , Monte A. Del Monte MD , Justin D. Marsh MD , Courtney L. Kraus MD , David K. Wallace MD, MPH , Jeffrey D. Colburn MD , Pavlina S. Kemp MD , Susan A. Cotter OD, MS , Pediatric Eye Disease Investigator Group (PEDIG)
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Each participant was classified as having received either Parks’s dose (within 0.5 mm) or a dose greater than Parks’s dose. Success was defined as “rarely” or “never” diplopia in distance straight-ahead gaze and reading. For patients classified as success, the mean difference between actual surgical dose performed and Parks’s dose was calculated. Success was 91% (29/32) in those receiving greater than Parks’s dose versus 67% (6/9) with Parks’s dose (difference = 24%; 95% CI, −5% to 60%). The mean surgical dose was 1.0 mm greater than Parks’s tables for the 35 successes (at 10 weeks) versus 0.7 mm greater for the 6 failures (difference = 0.4 mm; 95% CI, −0.2 to 0.9). For medial rectus recessions in adult-onset divergence insufficiency-type esotropia, a surgical dose 1 mm greater than Parks’s tables, for each muscle, is a reasonable strategy.</p></div>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Doses of medial rectus muscle recessions for divergence insufficiency-type esotropia\",\"authors\":\"Aaron M. Miller MD , Jonathan M. Holmes BM, BCh , Rui Wu MS , Raymond T. Kraker MSPH , Eric R. Crouch MD , Katherine A. Lee MD , Monte A. Del Monte MD , Justin D. Marsh MD , Courtney L. Kraus MD , David K. Wallace MD, MPH , Jeffrey D. Colburn MD , Pavlina S. Kemp MD , Susan A. 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引用次数: 0
摘要
我们评估了双侧内侧直肌凹陷的剂量是否大于帕克斯表的剂量,从而为成人发散性视力障碍带来更好的治疗效果。42 名患者接受了双侧内侧直肌凹陷手术。剂量分析为每块肌肉的平均总剂量(手术+缝合调整(如果进行)),并与标准剂量表(基于术前距离esodeviation)进行比较,以显示进行的剂量与Parks剂量表显示的剂量之间的差异。每位参与者被分为接受了 Parks 剂量(0.5 毫米以内)或接受了大于 Parks 剂量的剂量。成功的定义是 "很少 "或 "从未 "在远距离直视和阅读时出现复视。对于被归类为成功的患者,计算实际手术剂量与 Parks 剂量之间的平均差异。接受大于 Parks 剂量的成功率为 91%(29/32),而接受 Parks 剂量的成功率为 67%(6/9)(差异 = 24%;95% CI,-5% 至 60%)。35 名成功者(10 周时)的平均手术剂量比 Parks 表大 1.0 毫米,而 6 名失败者的平均手术剂量比 Parks 表大 0.7 毫米(差异 = 0.4 毫米;95% CI,-0.2 至 0.9)。对于成人发散功能不全型内斜视的内侧直肌凹陷,每块肌肉的手术剂量比Parks的表格大1毫米是一个合理的策略。
Doses of medial rectus muscle recessions for divergence insufficiency-type esotropia
We evaluated whether doses of bilateral medial rectus recessions greater than Parks’s tables yielded superior outcomes for adult-onset divergence insufficiency. Forty-two patients underwent bilateral medial rectus recessions. Dose was analyzed as the average total per muscle (surgery + suture adjustment if performed) and compared with the standard dose tables (based on preoperative distance esodeviation), as difference between dose performed and dose indicated by Parks’s tables. Each participant was classified as having received either Parks’s dose (within 0.5 mm) or a dose greater than Parks’s dose. Success was defined as “rarely” or “never” diplopia in distance straight-ahead gaze and reading. For patients classified as success, the mean difference between actual surgical dose performed and Parks’s dose was calculated. Success was 91% (29/32) in those receiving greater than Parks’s dose versus 67% (6/9) with Parks’s dose (difference = 24%; 95% CI, −5% to 60%). The mean surgical dose was 1.0 mm greater than Parks’s tables for the 35 successes (at 10 weeks) versus 0.7 mm greater for the 6 failures (difference = 0.4 mm; 95% CI, −0.2 to 0.9). For medial rectus recessions in adult-onset divergence insufficiency-type esotropia, a surgical dose 1 mm greater than Parks’s tables, for each muscle, is a reasonable strategy.
期刊介绍:
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.