调节性内斜视：当前的技术水平
Accommodative esotropia: the state of the art.
作者信息
Lembo Andrea, Serafino Massimiliano, Strologo Marika Dello, Saunders Richard A, Trivedi Rupal H, Villani Edoardo, Nucci Paolo
机构信息
Department of Clinical Sciences and Community Health, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Multimedica, University of Milan, Eye Clinic San Giuseppe Hospital, Via San Vittore, 12, 20123, Milan, Italy.
Department of Ophthalmology, Storm Eye Institute, Medical University of South Carolina, Charleston, SC, USA.
出版信息
Int Ophthalmol. 2019 Feb;39(2):497-505. doi: 10.1007/s10792-018-0821-6. Epub 2018 Jan 13.
PURPOSE
To review the state of the art of Accommodative Esotropia (AE) through careful study of what has been reported up to the point in literature.
METHODS
A literature search was done on PubMed using key words including "Accommodative esotropia", "Infantile esotropia", "Strabismus" and "Accommodation". We systematically reviewed and critically appraised what has been written about AE and we tried to analyze that according to the current management of AE.
RESULTS
Accommodative Esotropia (AE) is a form of strabismus characterized by convergent misalignment of the visual axes that can be associated with hyperopia and abnormal fusional divergence. Also abnormal accommodative convergence/accommodation ratio could be found. In lots of cases, AE initially presents as an intermittent esodeviation at age 1.5 to 4 years. The prevalence of AE has been estimated near 1-2% in the United States. The only treatment with an optical correction usually is successful in re-establishing alignment, but surgical correction is necessary in approximately 30% of cases.
目的
通过仔细研究文献中截至目前所报道的内容，回顾调节性内斜视（AE）的现有技术水平。
方法
在PubMed上使用关键词进行文献检索，关键词包括“调节性内斜视”“婴儿型内斜视”“斜视”和“调节”。我们系统地回顾并批判性地评估了关于AE的已发表内容，并试图根据AE的当前治疗方法进行分析。
结果
调节性内斜视（AE）是一种斜视形式，其特征为视轴的会聚性错位，可能与远视和异常融合性散开有关。还可能发现异常的调节性集合/调节比率。在许多情况下，AE最初表现为1.5至4岁时的间歇性内斜视。在美国，AE的患病率估计接近1%-2%。仅通过光学矫正通常就能成功恢复眼位对齐，但约30%的病例需要手术矫正。
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