先天性单侧上斜肌麻痹患者非麻痹眼外旋斜视的临床特征。
Clinical features of excyclotorsion in the non-paretic eye of patients with congenital unilateral superior oblique palsy.
机构信息
Department of Ophthalmology, College of Medicine, Korea University Guro Hospital, 148, Gurodong-ro, Guro-gu, Seoul, 08308, Republic of Korea.
出版信息
BMC Ophthalmol. 2022 Mar 16;22(1):126. doi: 10.1186/s12886-022-02339-5.
BACKGROUND
To investigate preoperative clinical features and postoperative results according to the correspondence between excyclotorsion and the paretic eye in patients with congenital unilateral superior oblique palsy (USOP).
METHODS
A retrospective review of medical charts was performed. The patients were divided into the accordance (ocular excyclotorsion in the paretic eye) and disaccordance (ocular excyclotorsion in the non-paretic eye) groups. The degree of excyclotorsion (scale, 0-4) was measured. Age, sex, hypertropia at the primary position, fixation preference, inferior oblique overaction, and degree of excyclotorsion were measured.
RESULTS
Ninety-eight patients were included in this study. There were 70 (71.4%) and 28 patients (28.6%) in the accordance and disaccordance groups. Sixteen patients (22.9%) in the accordance group and 12 patients (42.9%) in the disaccordance group were aged under 2 years (p = 0.04). A fixation preference of the paretic eye was observed in 2 (2.9%) and 8 (28.6%) patients in the accordance and disaccordance groups (p < 0.01). The postoperative degree of excyclotorsion in the accordance group (0.14 ± 0.39) was lower than that in the disaccordance group (0.28 ± 0.71) (p = 0.01). The residual postoperative excyclotorsion (> 1) were observed in the disaccordance group (14 patients, 50%) and accordance group (16 patients, 22.9%) (p = 0.01).
CONCLUSION
Preoperative disaccordance between excyclotorsion and the paretic eye was observed in patients who were under 2 years of age and preferred fixation of the paretic eye. The postoperative degree of excyclotorsion was lower in the accordance group.
背景
研究先天性单侧上斜肌麻痹（USOP）患者外旋斜视与麻痹眼之间的对应关系的术前临床特征和术后结果。
方法
对病历进行回顾性分析。患者分为相符（麻痹眼外旋斜视）和不相符（非麻痹眼外旋斜视）两组。测量外旋斜视程度（0-4 级）。测量年龄、性别、第一眼位上斜视、注视偏好、下斜肌过强、外旋斜视程度。
结果
本研究共纳入 98 例患者，相符组 70 例（71.4%），不相符组 28 例（28.6%）。相符组 16 例（22.9%）、不相符组 12 例（42.9%）年龄小于 2 岁（p=0.04）。相符组 2 例（2.9%）、不相符组 8 例（28.6%）患者存在麻痹眼注视偏好（p<0.01）。相符组术后外旋斜视程度（0.14±0.39）低于不相符组（0.28±0.71）（p=0.01）。不相符组（14 例，50%）和相符组（16 例，22.9%）术后残余外旋斜视（>1）（p=0.01）。
结论
年龄小于 2 岁和麻痹眼注视偏好的患者术前存在外旋斜视与麻痹眼不相符。相符组术后外旋斜视程度较低。
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