间歇性外斜视手术后迟发性连续内斜视的临床表现。
Clinical Manifestations of Delayed-onset Consecutive Esotropia after Surgical Correction of Intermittent Exotropia.
机构信息
Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea.
出版信息
Korean J Ophthalmol. 2020 Apr;34(2):121-125. doi: 10.3341/kjo.2019.0108.
PURPOSE
To evaluate the clinical features and prognosis of a delayed-onset consecutive esotropia (ET) after surgical correction of intermittent exotropia.
METHODS
Thirty-four patients who developed consecutive ET after primary bilateral lateral rectus recession for the surgical correction of intermittent exotropia were evaluated retrospectively and were divided into two groups: delayed-onset consecutive ET group and the continuous consecutive ET group. Patients who developed esodeviation after once recovering to orthotropia within 1 month after the operation were included in the delayed-onset consecutive ET group, and patients with continuous esodeviation after the operation were included in the continuous consecutive ET group. We evaluated preoperative and postoperative angle of deviation, suppression, stereopsis, and follow up periods between the two groups and compared re-operation and success following non-surgical treatment between the continuous consecutive ET group and the delayed-onset consecutive ET group.
RESULTS
Among 34 patients with consecutive ET, 27 patients (79.4%) were included in the delayed-onset consecutive ET group, and seven patients (23.3%) were included in the continuous group. Success rate of non-surgical treatment was not statistically significant between two groups ( = 0.55), but it was higher in the delayed-onset group with 37.5%, and 25% of patients in continuous group were successfully recovered to straight alignment. Duration of orthotropia in delayed-onset group was 7.4 ± 6.0 months (range, 2-29 months). Age, sex, preoperative refractive error, preoperative exodeviation, suppression, and near steroacuity were not statistically significant between two groups ( > 0.05, all). In the delayed-onset group, three patients (11.1%) underwent re-operation, while three patients (42.9%) in continuous consecutive ET group underwent re-operation ( = 0.048).
CONCLUSIONS
Re-operation rate of delayed-onset consecutive ET after surgical correction of intermittent exotropia was lower than that of continuous consecutive ET.
目的
评估间歇性外斜视手术后迟发性连续内斜视的临床特征和预后。
方法
回顾性分析 34 例因间歇性外斜视行双侧外直肌后退术矫正后出现连续内斜视的患者，并将其分为迟发性连续内斜视组和连续连续内斜视组。术后 1 个月内恢复正位后出现斜视的患者纳入迟发性连续内斜视组，术后持续斜视的患者纳入连续连续内斜视组。我们评估了两组患者的术前和术后斜视角度、抑制、立体视和随访时间，并比较了连续连续内斜视组和迟发性连续内斜视组的再次手术和非手术治疗的成功率。
结果
在 34 例连续内斜视患者中，27 例（79.4%）患者纳入迟发性连续内斜视组，7 例（23.3%）患者纳入连续连续内斜视组。两组患者非手术治疗的成功率无统计学差异（ = 0.55），但迟发性组的成功率较高，为 37.5%，连续组中有 25%的患者恢复为直线对齐。迟发性组的正位维持时间为 7.4 ± 6.0 个月（范围为 2-29 个月）。两组患者的年龄、性别、术前屈光不正、术前外斜视、抑制和近立体视无统计学差异（ > 0.05，均）。在迟发性组中，有 3 例（11.1%）患者接受了再次手术，而连续连续内斜视组中有 3 例（42.9%）患者接受了再次手术（ = 0.048）。
结论
间歇性外斜视手术后迟发性连续内斜视的再次手术率低于连续连续内斜视。
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