Sturm Veit, Menke Marcel N, Knecht Pascal B, Schöffler Corinna
Department of Ophthalmology, University Hospital of Hamburg, Hamburg, Germany.
J AAPOS. 2011 Aug;15(4):317-20. doi: 10.1016/j.jaapos.2011.03.018.
To study the clinical features and surgical outcome of type 2 (Burian-Franceschetti) acute acquired concomitant esotropia (AACE).
Retrospective analysis of children with AACE type 2. All patients underwent strabismus surgery to restore ocular alignment. All children underwent a complete assessment including medical history and pre- and postoperative ophthalmological and orthoptic examinations. Postoperative follow-up was at least 12 months in all cases.
A total of 25 consecutive patients were included. All but 2 patients (92%) were aligned within 8(∆) or less of orthotropia. Of the 25, 15 (60%) regained normal stereovision. In 6 additional cases (24%) some level of binocular vision (Titmus test, 200'' to 3000'') was demonstrated. All of the patients who finally achieved normal stereopsis had lower levels of binocularity on the first postoperative day. The mean interval between surgery and first occurrence of full stereovision was 18 months (range, 2 to 58 months).
General features of AACE type 2 are concomitance of strabismus, absence of an accommodative component even in the presence of hyperopic refractive errors, and no neurological pathology. The potential for normal binocular vision plays a key role in defining this entity. The reemergence of full stereopsis may take several years.
研究2型（布里安-弗朗切斯基型）急性后天性共同性内斜视（AACE）的临床特征和手术效果。
对2型AACE患儿进行回顾性分析。所有患者均接受斜视手术以恢复眼位正位。所有儿童均接受了全面评估，包括病史以及术前和术后的眼科及视光学检查。所有病例术后随访至少12个月。
共纳入25例连续患者。除2例患者外（92%），所有患者眼位在正位偏差8（∆）或更小范围内。25例患者中，15例（60%）恢复了正常立体视。另外6例（24%）表现出一定程度的双眼视（Titmus测试，200''至3000''）。所有最终获得正常立体视的患者在术后第一天的双眼视水平较低。手术至首次出现完全立体视的平均间隔时间为18个月（范围，2至58个月）。
2型AACE的一般特征为斜视的共同性、即使存在远视屈光不正也无调节成分以及无神经病理学改变。正常双眼视的潜力在定义该疾病中起关键作用。完全立体视的重新出现可能需要数年时间。
