Watts Patrick, Tippings Emma, Al-Madfai Hasan
University Hospital of Wales, Cardiff CF14 4XW, Wales, UK.
J AAPOS. 2005 Oct;9(5):460-4. doi: 10.1016/j.jaapos.2005.04.010.
We sought to determine whether the Newcastle Control Score (NCS) could be used to indicate a successful outcome in patients with intermittent exotropia that were treated with minus lenses.
We studied patients with an intermittent exotropia who were prescribed minus lens therapy in an effort to manage their strabismus conservatively. The NCS, which quantitatively estimates the control of an intermittent exotropia, was applied before treatment and 4 months after treatment. The results of minus lens therapy with a pretreatment NCS of > or =5 (group 1) were compared with those with a NCS of < or =4 (group 2).
There were 24 patients (13 girls, 11 boys) treated with minus lenses. The mean age of the patients was 6.8 +/- 3.8 years (range, 2-17 years; median, 5). The mean pretreatment distance angle was 28.5 +/- 10 prism diopters (range, 6-45; median, 30) and the mean post-treatment distance angle was 18.3 +/- 8.9 prism diopters (range, 0-35; median, 18) P = 0.001. Using the NCS minus lenses significantly (P = 0.041) improved control of exotropia. In group 2 (n = 16) 75% had improved scores post-treatment compared with 62.5% in group 1 (n = 8), P = 0.68.
These data suggest that the NCS is a useful method to indicate the success in the control of intermittent exotropia with conservative treatment with minus lens therapy.
我们试图确定纽卡斯尔控制评分（NCS）是否可用于表明接受负球镜治疗的间歇性外斜视患者的治疗结果是否成功。
我们研究了接受负球镜治疗以保守治疗斜视的间歇性外斜视患者。NCS用于定量评估间歇性外斜视的控制情况，在治疗前和治疗后4个月应用。将治疗前NCS≥5的负球镜治疗结果（第1组）与NCS≤4的结果（第2组）进行比较。
有24例患者（13名女孩，11名男孩）接受了负球镜治疗。患者的平均年龄为6.8±3.8岁（范围2 - 17岁；中位数5岁）。治疗前平均远距离斜视度为28.5±10棱镜度（范围6 - 45；中位数30），治疗后平均远距离斜视度为18.3±8.9棱镜度（范围0 - 35；中位数18），P = 0.001。使用NCS，负球镜显著（P = 0.041）改善了外斜视的控制。在第2组（n = 16）中，75%的患者治疗后评分有所改善，而第1组（n = 8）为62.5%，P = 0.68。
这些数据表明，NCS是一种有用的方法，可用于表明采用负球镜保守治疗间歇性外斜视时控制效果是否成功。
