Department of Ophthalmology, Jinan 2nd People's Hospital, No.148, Jingyi Road, Huaiyin District, Jinan, 250001, China.
BMC Ophthalmol. 2020 Jul 23;20(1):303. doi: 10.1186/s12886-020-01574-y.
To compare the therapeutic effects of surgery following prism adaptation test versus surgery alone in acute acquired comitant esotropia (AACE).
A total of 46 patients with AACE were enrolled in this retrospective study. Among them, 26 patients underwent surgery following prism adaptation test (combination group) and 20 patients underwent surgery alone (surgery group). The following parameters were evaluated including success rate, distant and near deviation angles, visual function, and near stereoacuity.
There were no significant differences in success rate between the combination group and surgery group at post-treatment 12 months (96.15% vs. 90.00%, p > 0.05). The postoperative distant and near deviation angles in two groups were significantly lower than that before surgery (p < 0.05). In addition, the numbers of patients with stereopsis postoperatively in two groups were significantly higher than that before surgery (all p < 0.05). Moreover, the numbers of patients with stereopsis and central stereopsis in the combination group were significantly higher than that in the surgery group postoperatively. At post-treatment 12 months, one (3.85%) case recurred in combination group and three (15.00%) cases in the surgery group. No complications were observed in the two groups.
Both approaches had therapeutic benefit in AACE. Surgery following prism adaptation test had better treatment benefits than surgery alone in improving binocular function and reducing recurrence rate.
比较棱镜适应试验后手术与单纯手术治疗急性获得性共同性内斜视（AACE）的疗效。
本回顾性研究共纳入 46 例 AACE 患者。其中 26 例行棱镜适应试验后手术（联合组），20 例行单纯手术（手术组）。评估指标包括成功率、远距和近距斜视角度、视觉功能和近立体视锐度。
联合组和手术组术后 12 个月的成功率无显著差异（96.15% vs. 90.00%，p>0.05）。两组术后远距和近距斜视角度均明显低于术前（p<0.05）。此外，两组术后立体视患者数量明显多于术前（均 p<0.05）。而且，联合组术后具有立体视和中心立体视的患者数量明显多于手术组。术后 12 个月，联合组 1 例（3.85%）复发，手术组 3 例（15.00%）复发。两组均未出现并发症。
两种方法均对 AACE 有效。与单纯手术相比，棱镜适应试验后手术在改善双眼功能和降低复发率方面具有更好的治疗效果。
