Zhao Bo-Wen, Fu Jing, Wang Jing-Hui, Bai Hai-Xia, Liu Pei-Pei, Guo Ya-Nan, Zhang Rong-Han, Su Han
Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Ophthalmology & Visual Sciences Key Laboratory, Beijing 100730, China.
Eye Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, Zhejiang Province, China.
Int J Ophthalmol. 2021 Mar 18;14(3):442-447. doi: 10.18240/ijo.2021.03.18. eCollection 2021.
To study the quality of life of adult patients with intermittent exotropia (IXT) in China and analyze the factors affecting the quality of life in IXT patients.
Totally 109 cases of normal eye (control group), 77 cases of IXT (IXT group) and 115 cases of strabismus control group (except IXT) were collected. The quality of life of the patients was assessed by Chinese version of adult strabismus patient's quality of life scale (CAS-20). The differences of general characteristics, visual function and quality of life were analyzed, and the effects of individual factors and visual function on quality of life of patients with IXT were analyzed.
The IXT group had a high proportion of patients with family history, low proportion of patients with amblyopia compared with strabismus control group. The proportion with normal near and far stereopsis of IXT group were lower than that of normal control group. The best corrected visual acuity of IXT group was higher than that of strabismus control group, but lower than the control group. In addition, the median strabismus degree in IXT group was higher than that in other strabismus control group. The median psychosocial scores and median visual function scores of the IXT group was lower than that of the normal control group, but not different from strabismus control group. Occupation status, course of disease, far stereopsis and near stereopsis significantly affected the quality of life in IXT patients.
Adult IXT patients in China have a certain proportion of family history and lower quality of life, The main factors affecting the quality of life of IXT patients is stereopsis, course of disease and occupation status.
研究中国成年间歇性外斜视（IXT）患者的生活质量，并分析影响IXT患者生活质量的因素。
共收集109例正常眼患者（对照组）、77例IXT患者（IXT组）和115例斜视对照组患者（不包括IXT）。采用中文版成人斜视患者生活质量量表（CAS-20）评估患者的生活质量。分析一般特征、视功能和生活质量的差异，并分析个体因素和视功能对IXT患者生活质量的影响。
与斜视对照组相比，IXT组有家族史的患者比例较高，弱视患者比例较低。IXT组近、远立体视正常的比例低于正常对照组。IXT组的最佳矫正视力高于斜视对照组，但低于对照组。此外，IXT组的斜视度中位数高于其他斜视对照组。IXT组的心理社会得分中位数和视功能得分中位数低于正常对照组，但与斜视对照组无差异。职业状态、病程、远立体视和近立体视显著影响IXT患者的生活质量。
中国成年IXT患者有一定比例的家族史且生活质量较低，影响IXT患者生活质量的主要因素是立体视、病程和职业状态。
