Duane后缩综合征的散光。

IF 1.7 4区 医学 Q3 OPHTHALMOLOGY
Masoud Khorrami-Nejad, Mohammad Reza Akbari, Babak Masoomian, Hayder Ali Mahmood, Kimia Daneshvar, Ali Majdi
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引用次数: 0

摘要

目的:比较不同Duane后缩综合征(DRS)患者散光的发生率、程度和类型。方法:对312例DRS患者进行回顾性横断面研究。患者分为DRS 1型、2型、3型和双侧病例。分析屈光不正和视力,强调散光类型的患病率,特别是有规则散光(WTR)、反规则散光(ATR)和斜散光,以及每种DRS亚型的功率向量。结果:本研究纳入312例DRS患者,其中44.6%为男性,中位年龄18.5岁(四分位数间距[IQR]: 7-27)。其中280例为单侧DRS, 32例为双侧DRS。单侧DRS患者的中位年龄为19岁(IQR: 7-27;43.2%男性),而双侧DRS患者为16岁(IQR: 6-29.2;56.3%的男性)。在所有DRS患者中,180例(57.7%)被诊断为1型DRS, 87例(27.9%)被诊断为2型DRS, 45例(14.4%)被诊断为3型DRS。在单侧病例中,WTR散光最常见(56.8%),其次是斜散光(23.6%)和ATR散光(19.6%)。双侧DRS患者在双眼中表现出相似的分布,WTR散光也占主导地位。功率矢量对比分析表明,1型DRS以WTR和斜向散光为主,2型和3型以ATR散光为主。比较不同DRS亚型的眼眼的柱面功率和功率矢量,2型DRS的眼眼柱面功率显著高于其他亚型(p = 0.017), ATR散光倾向显著高于其他亚型(p = 0.038),提示其眼眼也可能发生散光变化。结论:本研究表明DRS患者散光发生率高,尤其是WTR散光。此外,我们发现特定散光模式和DRS亚型之间存在显著关联,表明眼外肌神经支配、共收缩和角膜形状之间存在潜在联系。这些发现强调了对DRS患者进行全面散光评估对于最佳屈光管理的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Astigmatism in Duane Retraction Syndrome.

Purpose: To compare the prevalence, magnitude, and type of astigmatism among patients with different Duane Retraction Syndrome (DRS) types.

Method: This retrospective cross-sectional study reviewed the records of 312 DRS patients. Patients were categorized into DRS Types 1, 2, 3, and bilateral cases. Refractive errors and visual acuity were analyzed, emphasizing the prevalence of astigmatism types, specifically with-the-rule (WTR), against-the-rule (ATR), and oblique, as well as the power vectors for each DRS subtype.

Results: Our study included 312 patients with DRS, comprising 44.6% males and a median age of 18.5 years (interquartile range [IQR]: 7-27). Of these, 280 had unilateral DRS and 32 had bilateral DRS. The median age for unilateral DRS patients was 19 years (IQR: 7-27; 43.2% males), whereas for bilateral DRS patients, it was 16 years (IQR: 6-29.2; 56.3% males). In all DRS patients, 180 (57.7%) were diagnosed with Type 1 DRS, 87 (27.9%) with Type 2 DRS, and 45 (14.4%) with Type 3 DRS. In unilateral cases, WTR astigmatism was the most prevalent (56.8%), followed by oblique (23.6%) and ATR astigmatism (19.6%). Bilateral DRS patients exhibited a similar distribution in both eyes, with WTR astigmatism also being predominant. The comparative analysis of power vectors indicated that Type 1 DRS exhibited a greater prevalence of WTR and oblique astigmatism, whereas ATR astigmatism was the predominant pattern in Types 2 and 3. A comparison of cylindrical powers and power vectors among fellow eyes of different DRS subtypes revealed that Type 2 DRS had significantly higher cylindrical power (p = 0.017) and a greater tendency toward ATR astigmatism (p = 0.038) than fellow eyes in other subtypes, suggesting that astigmatic changes may also occur in fellow eyes.

Conclusion: Our study demonstrates a high prevalence of astigmatism, particularly WTR astigmatism, in DRS patients. Furthermore, we found significant associations between specific astigmatism patterns and DRS subtypes, suggesting a potential link between extraocular muscle innervation, co-contraction, and corneal shape. These findings highlight the importance of comprehensive astigmatism assessment in DRS patients for optimal refractive management.

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来源期刊
BMC Ophthalmology
BMC Ophthalmology OPHTHALMOLOGY-
CiteScore
3.40
自引率
5.00%
发文量
441
审稿时长
6-12 weeks
期刊介绍: BMC Ophthalmology is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of eye disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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