Department of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Eur J Ophthalmol. 2023 Jul;33(4):1604-1610. doi: 10.1177/11206721231156985. Epub 2023 Feb 16.
Strabismus sursoadductorius is the most common strabismus of the oblique eye muscles. The changes in squint angle, elevation in adduction, abnormal head posture and binocular vision were collected to get an overview of the results at the largest clinic in Austria.
This study is a retrospective study. The orthoptic and ophthalmologic parameters of 102 patients who were treated in the Department of Ophthalmology and Optometry between January 2017 und September 2020 were collected and statistically analysed.
The mean age was 12.2 ± 14.8 years. The squint angle changed from 18.3 ± 6.3 presurgical to 13.4 ± 9.7 (p = 0.09) with Hirschberg measurement. The squint angle changed from 12.5 ± 7.7 to 6.7 ± 4.9 (p < 0.01) at distance and from 12.5 ± 7.6 to 6.1 ± 4.5 (p < 0.01) at near with the prism covertest. Elevation in adduction showed a highly significant change (p < 0.01) from 15 ± 5.6 to 1.4 ± 2.8 degrees on average postsurgical. In binocular vision at distance there was also a highly significant (p < 0.01) change with 21.6% to postsurgical 37.3% positive tests. At near, the positives also increased significantly (p = 0.01) from 32.4% to 39.2%. There was no significant change in stereo vision (p = 1.0). Presurgical 52.9% of the sample had an abnormal head posture, postsurgical it was 38.2%, this change is also highly significant (p < 0.01).
The change was significant to highly significant for most parameters (i.e., squint angle, elevation in adduction, and abnormal head posture).
外转肌斜视是最常见的斜视类型。本研究旨在通过收集斜视角度、内转时的上抬、异常头位和双眼视等参数，了解奥地利最大斜视诊所的治疗结果。
这是一项回顾性研究。收集了 2017 年 1 月至 2020 年 9 月期间在眼科和视光科接受治疗的 102 例患者的斜视和眼科参数，并进行了统计学分析。
患者的平均年龄为 12.2±14.8 岁。Hirschberg 测量显示斜视角度从术前的 18.3±6.3 变为术后的 13.4±9.7（p=0.09）。棱镜遮盖试验显示，远距斜视角度从术前的 12.5±7.7 变为术后的 6.7±4.9（p<0.01），近距斜视角度从术前的 12.5±7.6 变为术后的 6.1±4.5（p<0.01）。内转时的上抬高度也有显著变化（p<0.01），平均从术前的 15±5.6 变为术后的 1.4±2.8 度。远距双眼视功能也有显著改善（p<0.01），术后正性检查比例从 21.6%增加到 37.3%。近距双眼视功能也显著增加（p=0.01），从 32.4%增加到 39.2%。立体视觉无明显变化（p=1.0）。术前有 52.9%的样本存在异常头位，术后为 38.2%，这一变化也具有统计学意义（p<0.01）。
大多数参数（斜视角度、内转时的上抬和异常头位）的变化具有统计学意义或高度显著。
