Yagasaki Teiji, Yokoyama Yoshimi, Yagasaki Ayaka, Eboshita Riho, Tagami Keiko, Haga Yayoi, Touya Arisu
Yagasaki Eye Clinic, Ichinomiya, Aichi, Japan.
Department of Ophthalmology, Japan Community Healthcare Organization Chukyo Hospital, Nagoya, Aichi, Japan.
Clin Ophthalmol. 2023 Mar 11;17:807-816. doi: 10.2147/OPTH.S403300. eCollection 2023.
To analyze surgical results of 32 cases with acute acquired comitant esotropia (AACE) related to prolonged use of digital devices (DDs).
Medical records of cases with AACE related to prolonged use of DDs that had undergone surgery were retrospectively revised. Complete medical history and full ophthalmological examinations before and surgery were obtained for all cases. All cases also underwent neurological examinations using brain and orbital imaging. Motor success was considered as alignment within 10 prism diopters (Δ) at both near and distance. Sensory success was defined as stereopsis ≤60 arcsec. Nineteen cases (Group S) underwent surgery alone and 13 cases were treated with surgery and prism adaptation (Group S+P). Motor and sensory outcomes were compared between groups.
Mean age at first visit was 22.0 ± 9.0 years and mean daily use of DDs use was 6.3 ± 3.4 hours. Mean angle of preoperative alignment for distance and near were 26.5 ± 13.0Δ and 24.6 ± 16.4Δ, respectively. Surgery was performed at a mean of 23.3 ±3.5 years old and mean angle of alignment at final examination for distance and near were 5.8 ± 7.7Δ and 3.5 ± 5.7Δ, respectively. Final motor and sensory success rate were 84% and 53%, respectively. No significant differences in motor or sensory outcomes were evident between groups at initial or last visit.
Favorable motor and sensory outcomes were achieved with surgical intervention with and without prism adaptation for AACT related to prolonged use of DDs.
分析32例与长期使用数字设备（DDs）相关的急性后天性共同性内斜视（AACE）的手术结果。
回顾性分析因长期使用DDs导致AACE且接受手术治疗的病例的病历。获取所有病例完整的病史以及手术前后的全面眼科检查结果。所有病例还进行了脑部和眼眶成像的神经学检查。运动成功定义为近距和远距斜视度均在10棱镜度（Δ）以内。感觉成功定义为立体视≤60角秒。19例（S组）仅接受手术治疗，13例接受手术及棱镜适应治疗（S+P组）。比较两组的运动和感觉结果。
首次就诊时的平均年龄为22.0±9.0岁，平均每日使用DDs的时间为6.3±3.4小时。术前远距和近距斜视的平均角度分别为26.5±13.0Δ和24.6±16.4Δ。手术时的平均年龄为23.3±3.5岁，最终检查时远距和近距斜视的平均角度分别为5.8±7.7Δ和3.5±5.7Δ。最终的运动和感觉成功率分别为84%和53%。在初次或末次就诊时，两组在运动或感觉结果方面均无明显差异。
对于与长期使用DDs相关的AACT，无论是否进行棱镜适应，手术干预均能取得良好的运动和感觉结果。
