Dohvoma Viola Andin, Ebana Mvogo Stève Robert, Ndongo Jean Audrey, Mvilongo Caroline Tsimi, Ebana Mvogo Côme
Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.
Yaoundé Central Hospital, Yaoundé, Cameroon.
Clin Ophthalmol. 2020 Feb 13;14:449-454. doi: 10.2147/OPTH.S241861. eCollection 2020.
To evaluate the ocular alignment following esotropia surgery in our setting.
We conducted a cross sectional descriptive study which spanned 19 years, from October 1999 to September 2018 at the Douala General Hospital and the Yaoundé Central Hospital. Complete medical records of patients who underwent surgery for esotropia during the study period were included. Data collected included age at diagnosis, sex, age of onset of esotropia, age at surgery, refractive error, type of surgery performed, pre and post-operative angle of deviation. The outcome was considered good when the postoperative angle was ≤10 prism diopters (PD).
Four hundred and ninety patients with primary esotropia were seen during the study period. Only 155 returned for follow-up after wearing the full cycloplegic correction for a minimum period of 3 months. Accommodative esotropia was found in 32 cases (20.6%). Among the 123 cases requiring surgery, 63 cases underwent surgery (51.2%). Fifty-nine complete records were included (59.3% females and 40.7% males). The mean age at the time of diagnosis was 6.5 ± 6.1 years and the mean age at the time of surgery was 8.7 ± 6.1 years. The mean preoperative angle at distance was 42.8 ±10.8 PD. The outcome was good in 91.5% of cases. No factor influenced the outcome of surgery.
The outcome of esotropia surgery was good in this study. This could serve to increase patient motivation to accept surgery in our setting.
评估我院内斜视手术后的眼位矫正情况。
我们进行了一项横断面描述性研究，研究时间跨度为19年，从1999年10月至2018年9月，研究地点为杜阿拉总医院和雅温得中心医院。纳入了研究期间接受内斜视手术患者的完整病历。收集的数据包括诊断时的年龄、性别、内斜视发病年龄、手术年龄、屈光不正、手术类型、术前和术后斜视度数。当术后斜视度数≤10棱镜度（PD）时，结果判定为良好。
研究期间共诊治490例原发性内斜视患者。只有155例在充分睫状肌麻痹矫正至少3个月后回来进行随访。发现32例（20.6%）为调节性内斜视。在123例需要手术的患者中，63例接受了手术（51.2%）。纳入了59份完整病历（女性占59.3%，男性占40.7%）。诊断时的平均年龄为6.5±6.1岁，手术时的平均年龄为8.7±6.1岁。术前远距离平均斜视度数为42.8±10.8 PD。91.5%的病例结果良好。没有因素影响手术结果。
本研究中内斜视手术效果良好。这可能有助于提高我们地区患者接受手术的积极性。
