Ophthalmic Epidemiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Ophthalmology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Korean J Ophthalmol. 2020 Apr;34(2):143-149. doi: 10.3341/kjo.2019.0090.
We aimed to determine the long-term motor and sensory outcomes of patients with infantile exotropia.
In this longitudinal retrospective (historical cohort) study, the records of 76 patients with infantile exotropia were Studied. Subjects with constant exotropia manifesting before the age of 1 year who were at least 5 years old at recruitment time between 2008 and 2017 were included.
The medical records of 26 patients were excluded due to not participating in follow-up examinations or having incomplete records. In total, 54 infantile exotropic patients (51.9% male) with a mean age of 11.1 ± 6.8 years and follow-up of 4.99 ± 3.58 years were studied. Postoperative sensory outcomes (central stereopsis [<60 sec/arc], peripheral fusion [60-3,000 sec/arc], and non-stereopsis [>3,000 sec/arc]) were observed in 38.9%, 38.9%, and 21.2% of patients, respectively. In terms of postoperative motor outcomes, 69%, 24%, and 7% were achieved as orthophoria, residual exotropia, and consecutive esotropia, respectively. Patients with a higher surgical age ( = 0.022) and better visual acuity ( = 0.004) had significantly better sensory outcomes, while higher preoperative deviation resulted in more suppression ( = 0.039, rs = 0.218).
With rates of 69% for motor success and 78.8% for sensory success, surgical outcomes of infantile exotropic patients seems to be favorable. Further studies are recommended to verify our findings.
本研究旨在确定婴儿性外斜视患者的长期运动和感觉结果。
本研究为回顾性纵向研究（历史队列研究）。研究对象为 2008 年至 2017 年间招募的至少 5 岁且有至少 5 年随访的、1 岁前发病且表现为恒定性外斜视的患者。
26 例患者的病历因未参加随访检查或记录不完整而被排除。最终共纳入 54 例外斜视患者（51.9%为男性），平均年龄为 11.1 ± 6.8 岁，随访时间为 4.99 ± 3.58 年。术后感觉结果（中央立体视锐度[<60 sec/arc]、周边融合[60-3000 sec/arc]和无立体视[>3000 sec/arc]）分别在 38.9%、38.9%和 21.2%的患者中观察到。术后运动结果中，69%、24%和 7%的患者分别达到正位、残余外斜视和继发性内斜视。手术年龄较高（=0.022）和视力较好（=0.004）的患者感觉结果更好，而术前斜视度较高则导致更多的抑制（=0.039，rs=0.218）。
婴儿性外斜视患者的手术成功率为 69%，感觉成功率为 78.8%，手术结果似乎较好。建议进一步研究以验证我们的发现。
