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[间歇性外斜视患儿不同远距离下的距离立体视锐度与控制水平之间的相关性]

[The correlations between distance stereoacuity and levels of control at different far distances in children with intermittent exotropia].

作者信息

Wang C Q, Ren M Y, Wang Q, Wang L H

机构信息

Eye Center, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, China (is a doctoral candidate, working at the Department of Ophthalmology, Shandong Provincial Corps Hospital of Chinese People's Armed Police Force, Jinan 250014, China).

出版信息

Zhonghua Yan Ke Za Zhi. 2019 Jan 11;55(1):25-30. doi: 10.3760/cma.j.issn.0412-4081.2019.01.006.

Abstract

To study the correlations between the distance stereoacuity and the levels of control at different far distance fixations in children with intermittent exotropia. In this prospective, non-interventional case series study, 52 children with intermittent exotropia (basic, divergence excess and pseudo-divergence excess types, exodeviation angles≥15 PD) admitted to the Shandong Provincial Hospital Affiliated to Shandong University for surgery between August 2014 and March 2015 were enrolled. The distance stereoacuity was tested with the distance Randot stereotest, and the control of exodeviation was assessed at outdoor far distance fixation of 50 m, indoor far distance fixation of 30 m, and indoor distance fixation of 3 m, respectively, using the office-based 6-point control scale proposed by Mohney and Holmes. The distance stereoacuity and control scores of every intermittent exotropia child were tested 3-4 times in a single day with an interval of at least 2 hours. Nonparametric Spearman rank method was used to analyze the correlations between distance stereoacuity and levels of control at three different far distances in children with intermittent exotropia. The mean age of 52 enrolled children (26 males, 26 females) was 7 years (range, 5-12 years), and 192 groups of distance stereoacuity and control scores were got for the 52 children. Positive correlations between the distance stereoacuity and the levels of control at outdoor far distance fixation of 50 m, indoor far distance fixation of 30 m, and indoor distance fixation of 3 m were observed (coefficients of correlations; 0.489, 0.472, 0.282, all 0.001). There are correlations between the distance stereoacuity and the levels of control at outdoor far distance fixation of 50 m, indoor far distance fixation of 30 m and indoor distance fixation of 3 m in children with intermittent exotropia, and the former two are found to be stronger than the latter one. .

摘要

研究间歇性外斜视患儿远距立体视锐度与不同远距离注视时控制水平之间的相关性。在这项前瞻性、非干预性病例系列研究中,纳入了2014年8月至2015年3月间在山东大学附属山东省立医院接受手术的52例间歇性外斜视患儿(基本型、分开过强型和假性分开过强型,外斜视角≥15三棱镜度)。采用远距Randot立体视检查法测试远距立体视锐度,并分别使用Mohney和Holmes提出的基于诊室的6分制控制量表,在室外50米远距离注视、室内30米远距离注视和室内3米近距离注视时评估外斜的控制情况。对每例间歇性外斜视患儿的远距立体视锐度和控制评分在一天内进行3 - 4次测试,每次间隔至少2小时。采用非参数Spearman秩相关法分析间歇性外斜视患儿远距立体视锐度与三个不同远距离注视时控制水平之间的相关性。52例纳入研究的患儿(男26例,女26例)平均年龄为7岁(范围5 - 12岁),共获得52例患儿的192组远距立体视锐度和控制评分。观察到远距立体视锐度与室外50米远距离注视、室内30米远距离注视和室内3米近距离注视时的控制水平呈正相关(相关系数分别为0.489、0.472、0.282,均P<0.001)。间歇性外斜视患儿远距立体视锐度与室外50米远距离注视、室内30米远距离注视和室内3米近距离注视时的控制水平之间存在相关性,且前两者的相关性强于后者。

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