Xiao H, Zhu H, Liu H
Department of Ophthalmology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China (is now working at the Affiliated Eye Hospital of Nanjing Medical University, Nanjing 210029, China).
Zhonghua Yan Ke Za Zhi. 2019 Jan 11;55(1):31-36. doi: 10.3760/cma.j.issn.0412-4081.2019.01.007.
To investigate the changes of life quality in children with intermittent exotropia (IXT) and their parents 1 year after surgical treatment. Retrospective study. The scores of Chinese version of the intermittent exotropia questionnaire (CIXTQ) and follow-up visits at 1 week preoperatively and 3 months, 12 months postoperatively were collected from 122 IXT children with successful eye positions 3 months postoperatively and their parents in Department of Ophthalmology, the First Affiliated Hospital of Nanjing Medical University from December 2015 to July 2016. The CIXTQ scores of children with different eye positions 1 year postoperatively, the impact of parent CIXTQ scores and 1-year postoperative eye positions on children's CIXTQ scores and parents' proxy CIXTQ scores, were analyzed. Repeated measures anova was used for the analysis. A total of 122 IXT children were collected in this study, there were 64 boys and 58 girls, age (2-15) years, mean (7±3) year. The eye positions of 88 (72.1%) children were successful 1 year postoperatively, and 34 (27.9%) were undercorrected 1 year postoperatively. The CIXTQ scores of children with different eye positions 1 year postoperatively were significantly higher than that at 1 week preoperatively and at 3 months postoperatively(scores of all children, 83.27±9.49 . 57.30±8.37 and 69.19±7.95; successful children, 84.12±8.80 . 57.36±8.16 and 69.99±7.85; undercorrected children, 81.07±10.95 . 57.14±9.04 and 67.10±7.98), with statistical significance (compared with 1 week preoperatively, 22.44, 22.13, 8.73; compared with 3 months postoperatively, 12.42, 11.40, 5.49; all 0.001). However, the parent' CIXTQ scores of children with recurrent strabismus showed no significant differences when compared to those at 3 months postoperatively (0.05). The CIXTQ scores of parents and eye positions 1 year postoperatively showed no impact on children's CIXTQ and parents' proxy CIXTQ scores (all 0.05). The orthodontic surgery can effectively improve the life quality of children with IXT and their parents 1 year after surgical treatment, and there is no correlation between the life quality of children and their parents. .
探讨间歇性外斜视（IXT）患儿及其父母术后1年生活质量的变化。回顾性研究。收集2015年12月至2016年7月在南京医科大学第一附属医院眼科接受手术治疗且术后3个月眼位成功的122例IXT患儿及其父母术前1周、术后3个月、12个月的中文版间歇性外斜视问卷（CIXTQ）评分及随访资料。分析术后1年不同眼位患儿的CIXTQ评分、父母CIXTQ评分及术后1年眼位对患儿CIXTQ评分和父母代理CIXTQ评分的影响。采用重复测量方差分析。本研究共纳入122例IXT患儿，其中男64例，女58例，年龄（2～15）岁，平均（7±3）岁。术后1年88例（72.1%）患儿眼位成功，34例（27.9%）患儿欠矫。术后1年不同眼位患儿的CIXTQ评分均显著高于术前1周及术后3个月（所有患儿评分：83.27±9.49、57.30±8.37和69.19±7.95；眼位成功患儿：84.12±8.80、57.36±8.16和69.99±7.85；欠矫患儿：81.07±10.95、57.14±9.04和67.10±7.98），差异有统计学意义（与术前1周比较：22.44、22.13、8.73；与术后3个月比较：12.42、11.40、5.49；均P<0.001）。然而，斜视复发患儿父母的CIXTQ评分与术后3个月比较差异无统计学意义（P>0.05）。术后1年父母的CIXTQ评分及眼位对患儿的CIXTQ评分和父母代理CIXTQ评分均无影响（均P>0.05）。斜视矫正手术可有效提高IXT患儿及其父母术后1年的生活质量，且患儿与父母的生活质量无相关性。
