Nongpiur Monisha E, Singh Anirudh, Saxena Rohit, Sharma Anudeepa, Sharma Pradeep
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Indian J Ophthalmol. 2014 Jun;62(6):695-8. doi: 10.4103/0301-4738.136218.
To evaluate stereoacuity in patients with acquired esotropia and determine the factors associated with favorable outcomes.
A total of 68 subjects aged 6 years and above were included in the study. Thorough clinical evaluation including binocular status examination using the Bagolini-striated glass test, The Netherland Organization (TNO), and Randot stereo test were done. The subjects were divided into two groups 1 and 2, based on the amount of deviation. Statistical analysis of the result was performed.
The duration of misalignment in the group with deviation less than or equal to 8 prism diopters (PD) was 1.49 ± 0.86 years, whereas in the group with deviation more than or equal to 10 PD was 4.64 ± 2.99 years (P = 0.000). Among the subjects in group 1, 89.5% achieved fusion and 52.6% had stereoacuity on both TNO and Randot, whereas in group 2 40% achieved fusion and 3.3% stereopsis on both TNO and Randot (one case with only coarse stereopsis). A subanalysis within group 1 revealed a statistically significant difference for the duration of misalignment (P = 0.02), but a marginal difference for the amount of deviation (P = 0.3).
A horizontal deviation up to 8 PD was compatible with stereopsis. Also, the duration of constant misalignment affects the attainment of stereopsis despite successful realignment.
评估后天性内斜视患者的立体视锐度,并确定与良好预后相关的因素。
本研究共纳入68名6岁及以上的受试者。进行了全面的临床评估,包括使用巴戈里尼线状镜检查、荷兰组织(TNO)和兰多立体视测试进行双眼状态检查。根据斜视量将受试者分为1组和2组。对结果进行了统计分析。
斜视度小于或等于8棱镜度(PD)组的斜视持续时间为1.49±0.86年,而斜视度大于或等于10 PD组的斜视持续时间为4.64±2.99年(P = 0.000)。在1组受试者中,89.5%实现了融合,52.6%在TNO和兰多测试中均有立体视锐度,而在2组中,40%实现了融合,3.3%在TNO和兰多测试中均有立体视(1例仅有粗略立体视)。1组内的亚分析显示,斜视持续时间有统计学显著差异(P = 0.02),但斜视量有边际差异(P = 0.3)。
水平斜视度达8 PD与立体视相容。此外,尽管成功矫正,但持续斜视的时间会影响立体视的获得。