检测儿童间歇性外斜视的抑制深度。
Testing depth of suppression in childhood intermittent exotropia.
机构信息
Mayo Clinic, Rochester, Minnesota.
Mayo Clinic, Rochester, Minnesota.
出版信息
J AAPOS. 2022 Feb;26(1):36-38.e1. doi: 10.1016/j.jaapos.2021.08.303. Epub 2021 Nov 16.
A test of suppression was developed to provide a standardized approach to detecting and grading density of suppression in children with intermittent exotropia when manifestly exotropic. This new Office Suppression Test is a three-step procedure to grade suppression on a 4-point scale (from 0 for "negligible suppression" to 3 for "dense suppression"). The test was performed in 57 children 3-13 years of age with intermittent exotropia (distance angle of 16-35, with spontaneous tropia) during enrollment in a randomized trial. Of the 57 children, 51 could complete testing: 28 (55%) had dense suppression, 12 (24%) had moderate suppression, 5 (10%) had mild suppression, and 6 (12%) had negligible suppression. In a subgroup of 20 untreated children, suppression was evaluated again at 8 weeks. There was moderate agreement between suppression scores at baseline and at 8 weeks (weighted κ = 0.65 [95% CI, 0.45-0.84]).
抑制测试是一种标准化的方法，用于检测和分级间歇性外斜视儿童在显斜视时的抑制密度。这种新的办公室抑制测试是一个三步程序，用 4 分制（从 0 到“可忽略的抑制”到 3 到“密集抑制”）来分级抑制。该测试在一项随机试验中对 57 名 3-13 岁的间歇性外斜视儿童（距离斜视角为 16-35，有自发性斜视）进行了测试。在 57 名儿童中，有 51 名可以完成测试：28 名（55%）有密集抑制，12 名（24%）有中度抑制，5 名（10%）有轻度抑制，6 名（12%）有可忽略的抑制。在 20 名未经治疗的儿童亚组中，在 8 周时再次评估抑制情况。在基线和 8 周时的抑制评分之间存在中度一致性（加权 κ = 0.65 [95%CI，0.45-0.84]）。
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