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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。

To evaluate stereoacuity in patients with acquired esotropia and to determine factors associated with favourable outcomes.

作者信息

Nongpiur Monisha E, Singh Anirudh, Saxena Rohit, Sharma Anudeepa, Sharma Pradeep

机构信息

Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian J Ophthalmol. 2014 Jun;62(6):695-8. doi: 10.4103/0301-4738.136218.

Abstract

AIM

To evaluate stereoacuity in patients with acquired esotropia and determine the factors associated with favorable outcomes.

MATERIALS AND METHODS

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.

RESULT

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).

CONCLUSION

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.

摘要

目的

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。

材料与方法

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。

结果

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)。

结论

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。

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本文引用的文献

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Stereopsis and long-term stability of alignment in esotropia.
J AAPOS. 2004 Apr;8(2):146-50. doi: 10.1016/j.jaapos.2003.10.003.
3
Binocularity following surgical correction of strabismus in adults.
Trans Am Ophthalmol Soc. 2003;101:201-5; discussion 205-7.
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Effects of anisometropia on binocularity.屈光参差对双眼视的影响。
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