{"title":"基于单马多克斯棒试验的增量手术治疗急性获得性合并内斜视。","authors":"Jianming Zheng, Ying Wang, Tao Shen, Bingbin Ma, Yongguang Yuan, Xinping Yu, Jingchang Chen","doi":"10.1016/j.jaapos.2024.104037","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To compare the outcomes of augmented-dose surgery for acute acquired concomitant esotropia (AACE) based on either the single Maddox rod test (SMRT), or the prism and alternate cover test (PACT), in cases where there is a clinically significant difference in the deviation using the two tests.</p><p><strong>Methods: </strong>The medical records of AACE patients who underwent augmented-dose surgery with a difference of ≥5<sup>Δ</sup> in preoperative deviations on PACT and SMRT were reviewed retrospectively. Augmented-dose surgery was based on the SMRT or PACT. Success was defined as elimination of diplopia and deviations ≤10<sup>Δ</sup> assessed with the PACT (PACT success) or with the SMRT (SMRT success) at both near and distance.</p><p><strong>Results: </strong>There were 18 patients in the SMRT group and 15 in the PACT group. In the SMRT group, the rate of PACT success was 94%, and SMRT success, 78%; postoperative distance esodeviation on PACT and SMRT were 0.72<sup>Δ</sup> ± 1.64<sup>Δ</sup> and 5.94<sup>Δ</sup> ± 4.73<sup>Δ</sup>, respectively. In the PACT group, the rate of PACT success was 80%, and SMRT success, 33%; postoperative distance esodeviation was 4.07<sup>Δ</sup> ± 5.15<sup>Δ</sup> (PACT) and 13.71<sup>Δ</sup> ± 8.26<sup>Δ</sup> (SMRT). The SMRT success rate was significantly higher in the SMRT group than in the PACT group (P = 0.010). The postoperative distance deviation was smaller in the SMRT group (P < 0.05).</p><p><strong>Conclusions: </strong>In our cohort of AACE patients, those whose augmented-dose surgery was based on the SMRT achieved more favorable surgical outcomes than those based on the PACT when there was a difference of ≥5<sup>Δ</sup> in preoperative deviations assessed with the two methods.</p>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"104037"},"PeriodicalIF":1.2000,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Augmented-dose surgery based on the single Maddox rod test for acute acquired comitant esotropia.\",\"authors\":\"Jianming Zheng, Ying Wang, Tao Shen, Bingbin Ma, Yongguang Yuan, Xinping Yu, Jingchang Chen\",\"doi\":\"10.1016/j.jaapos.2024.104037\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To compare the outcomes of augmented-dose surgery for acute acquired concomitant esotropia (AACE) based on either the single Maddox rod test (SMRT), or the prism and alternate cover test (PACT), in cases where there is a clinically significant difference in the deviation using the two tests.</p><p><strong>Methods: </strong>The medical records of AACE patients who underwent augmented-dose surgery with a difference of ≥5<sup>Δ</sup> in preoperative deviations on PACT and SMRT were reviewed retrospectively. Augmented-dose surgery was based on the SMRT or PACT. Success was defined as elimination of diplopia and deviations ≤10<sup>Δ</sup> assessed with the PACT (PACT success) or with the SMRT (SMRT success) at both near and distance.</p><p><strong>Results: </strong>There were 18 patients in the SMRT group and 15 in the PACT group. In the SMRT group, the rate of PACT success was 94%, and SMRT success, 78%; postoperative distance esodeviation on PACT and SMRT were 0.72<sup>Δ</sup> ± 1.64<sup>Δ</sup> and 5.94<sup>Δ</sup> ± 4.73<sup>Δ</sup>, respectively. In the PACT group, the rate of PACT success was 80%, and SMRT success, 33%; postoperative distance esodeviation was 4.07<sup>Δ</sup> ± 5.15<sup>Δ</sup> (PACT) and 13.71<sup>Δ</sup> ± 8.26<sup>Δ</sup> (SMRT). The SMRT success rate was significantly higher in the SMRT group than in the PACT group (P = 0.010). The postoperative distance deviation was smaller in the SMRT group (P < 0.05).</p><p><strong>Conclusions: </strong>In our cohort of AACE patients, those whose augmented-dose surgery was based on the SMRT achieved more favorable surgical outcomes than those based on the PACT when there was a difference of ≥5<sup>Δ</sup> in preoperative deviations assessed with the two methods.</p>\",\"PeriodicalId\":50261,\"journal\":{\"name\":\"Journal of Aapos\",\"volume\":\" \",\"pages\":\"104037\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2024-11-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Aapos\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jaapos.2024.104037\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Aapos","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jaapos.2024.104037","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
Augmented-dose surgery based on the single Maddox rod test for acute acquired comitant esotropia.
Purpose: To compare the outcomes of augmented-dose surgery for acute acquired concomitant esotropia (AACE) based on either the single Maddox rod test (SMRT), or the prism and alternate cover test (PACT), in cases where there is a clinically significant difference in the deviation using the two tests.
Methods: The medical records of AACE patients who underwent augmented-dose surgery with a difference of ≥5Δ in preoperative deviations on PACT and SMRT were reviewed retrospectively. Augmented-dose surgery was based on the SMRT or PACT. Success was defined as elimination of diplopia and deviations ≤10Δ assessed with the PACT (PACT success) or with the SMRT (SMRT success) at both near and distance.
Results: There were 18 patients in the SMRT group and 15 in the PACT group. In the SMRT group, the rate of PACT success was 94%, and SMRT success, 78%; postoperative distance esodeviation on PACT and SMRT were 0.72Δ ± 1.64Δ and 5.94Δ ± 4.73Δ, respectively. In the PACT group, the rate of PACT success was 80%, and SMRT success, 33%; postoperative distance esodeviation was 4.07Δ ± 5.15Δ (PACT) and 13.71Δ ± 8.26Δ (SMRT). The SMRT success rate was significantly higher in the SMRT group than in the PACT group (P = 0.010). The postoperative distance deviation was smaller in the SMRT group (P < 0.05).
Conclusions: In our cohort of AACE patients, those whose augmented-dose surgery was based on the SMRT achieved more favorable surgical outcomes than those based on the PACT when there was a difference of ≥5Δ in preoperative deviations assessed with the two methods.
期刊介绍：
Journal of AAPOS presents expert information on children''s eye diseases and on strabismus as it affects all age groups. Major articles by leading experts in the field cover clinical and investigative studies, treatments, case reports, surgical techniques, descriptions of instrumentation, current concept reviews, and new diagnostic techniques. The Journal is the official publication of the American Association for Pediatric Ophthalmology and Strabismus.
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