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Adult-onset chronic divergence insufficiency esotropia: clinical features and response to surgery.成人起病的慢性散开功能不全性内斜视：临床特征及手术反应
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4
Comparison of the Efficacy of Medial Rectus Recession and Lateral Rectus Resection for Treatment of Divergence Insufficiency.内直肌后徙术与外直肌切除术治疗散开不足的疗效比较
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Update on divergence insufficiency.散开功能不全的最新进展。
Int Ophthalmol Clin. 2014 Summer;54(3):21-31. doi: 10.1097/IIO.0000000000000035.
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Distance esotropia in the elderly.老年人的远距离内斜视。
Br J Ophthalmol. 2013 Nov;97(11):1415-9. doi: 10.1136/bjophthalmol-2013-303139. Epub 2013 Sep 3.
8
Sagging eye syndrome: connective tissue involution as a cause of horizontal and vertical strabismus in older patients.眼睑下垂综合征：结缔组织退行性变导致老年患者出现水平和垂直斜视。
JAMA Ophthalmol. 2013 May;131(5):619-25. doi: 10.1001/jamaophthalmol.2013.783.
9
Medial rectus recession is as effective as lateral rectus resection in divergence paralysis esotropia.在内直肌后退术在散开麻痹性内斜视中与外直肌切除术效果相同。
Arch Ophthalmol. 2012 Oct;130(10):1280-4. doi: 10.1001/archophthalmol.2012.1389.
10
Divergence insufficiency associated with high myopia.高度近视相关的散开功能不全。
Clin Ophthalmol. 2010 Dec 22;5:11-6. doi: 10.2147/OPTH.S14759.

非集合不足型内斜视与集合不足型内斜视手术剂量反应的比较。

Comparison of surgical dose response between divergence insufficiency esotropia and non-accommodative esotropia without divergence insufficiency.

机构信息

Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

出版信息

PLoS One. 2019 Jul 24;14(7):e0220201. doi: 10.1371/journal.pone.0220201. eCollection 2019.

DOI:10.1371/journal.pone.0220201
PMID:31339954
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6655741/
Abstract

BACKGROUND

The study compared the surgical dose-response relationship for divergence insufficiency esotropia (DIE) and non-accommodative esotropia without divergence insufficiency (non-DIE).

METHODS

We carried out a retrospective review of a group of patients with DIE and non-DIE who underwent recession surgery of the medial rectus muscle in both eyes. Linear regression analysis compared surgical dose-response between the two groups.

RESULTS

In the 15 patients with DIE, the mean preoperative ocular deviation at distant fixation was 25 prism diopters (PD), compared with 3 PD postoperatively. In the 38 non-DIE patients, the mean preoperative ocular deviation was 28 PD, compared with 3 PD postoperatively. The average surgical dose-response was 1.56 PD/mm in the DIE group and 2.91 PD/mm in the non-DIE group (p < 0.001).

CONCLUSIONS

Surgical dose-response was significantly lower in DIE patients than in non-DIE patients. Augmented MR recession surgery could be regarded as an effective treatment option for patients with DIE. Further study with a larger sample and long-term follow-up is needed to seek the proper extent of surgery in these patients.

摘要

背景

本研究比较了伴有和不伴有集合不足的内斜视（DIE 和非集合不足性内斜视，non-DIE）的手术剂量反应关系。

方法

我们对一组接受双眼内直肌后退术的 DIE 和 non-DIE 患者进行了回顾性研究。线性回归分析比较了两组之间的手术剂量反应。

结果

在 15 例 DIE 患者中，术前远距固视时眼位偏斜的平均值为 25 棱镜度（PD），术后为 3 PD。在 38 例 non-DIE 患者中，术前眼位偏斜的平均值为 28 PD，术后为 3 PD。DIE 组的平均手术剂量反应为 1.56 PD/mm，non-DIE 组为 2.91 PD/mm（p < 0.001）。

结论

DIE 患者的手术剂量反应明显低于 non-DIE 患者。增强型 MR 内直肌后退术可作为 DIE 患者的有效治疗选择。需要进一步进行更大样本量和长期随访的研究，以确定这些患者的适当手术范围。