Bayramlar Huseyin, Gurturk Ayse Y, Sari Unsal, Karadag Remzi
Medical Faculty Department of Ophthalmology, Istanbul Medeniyet University, Istanbul, Turkey.
Int Ophthalmol. 2017 Apr;37(2):385-390. doi: 10.1007/s10792-016-0273-9. Epub 2016 Jun 3.
To evaluate medium-term outcomes of overminus lens treatment in patients with intermittent exotropia [X(T)]. A retrospective analysis was performed of the outcomes of 19 children with X(T) who were prescribed overminus lens (-2.00 to -4.00 D) for a median period of 18 months (6-33). The success was evaluated using two assessment methods: 1. Newcastle Control System (NCS), and 2. Jampolsky's assessment. The mean age of the patients was 6.8 ± 3.3 years (range 3-14 years). After the therapy, the median NCS score significantly improved from 5 to 1 (p < 0.001). Sixteen children (84 %) showed a NCS score of 2 or less after overminus lens treatment. According to Jampolsky's assessment, 84 % of the patients showed marked improvement from the baseline (47 % had qualitative improvement, 37 % quantitative decrease in the angle of deviation in addition to a qualitative improvement). The median pre-treatment distant angle decreased from 25 prism diopters (PD) to 18 PD after the treatment (p = 0.002). Overcorrecting minus lens treatment has a reasonable rate of success in the medium term and may be advised as primary therapeutic alternative for X(T). Both NCS and Jampolsky's scoring system appear to be useful and comparable for follow-up of patients with X(T).
评估间歇性外斜视[X(T)]患者使用过矫镜片治疗的中期效果。对19例X(T)患儿的治疗效果进行回顾性分析，这些患儿被处方过矫镜片（-2.00至-4.00 D），中位治疗时间为18个月（6 - 33个月）。使用两种评估方法评估治疗效果：1. 纽卡斯尔控制系统（NCS），2. 扬波尔斯基评估法。患者的平均年龄为6.8 ± 3.3岁（范围3 - 14岁）。治疗后，NCS评分中位数从5显著提高至1（p < 0.001）。16名儿童（84%）在使用过矫镜片治疗后NCS评分为2或更低。根据扬波尔斯基评估法，84%的患者与基线相比有显著改善（47%有定性改善，37%除定性改善外，斜视角度有定量减小）。治疗后，治疗前的远距离斜视角度中位数从25棱镜度（PD）降至18 PD（p = 0.002）。过矫镜片治疗在中期有合理的成功率，可作为X(T)的主要治疗替代方案。NCS和扬波尔斯基评分系统在X(T)患者的随访中似乎都有用且具有可比性。
