Umazume F, Ohtsuki H, Hasebe S
Department of Opthalmology, Okayama University Medical School, Japan.
Jpn J Ophthalmol. 1997 Nov-Dec;41(6):414-21. doi: 10.1016/s0021-5155(97)00076-2.
We evaluated postoperative binocularity in a retrospective study of 111 adult strabismus patients in order to identify the factors which influence the success of surgery for horizontal concomitant strabismus in adults. Selection criteria included minimum age of 15 years at time of surgery, and preoperative fusion impairment with both the Bagolini lens test and synoptophore. Logistic regression analysis was used to correlate patient factors and postoperative binocularity. We found that 52 (65%) of 80 patients with exotropia and 23 (74.2%) of 31 patients with esotropia achieved post operative fusion. Significant predictive factors in exotropia were absence of previous surgery; visual acuity of the deviating eye > 0.5; an increase in the spherical equivalent of the deviating eye, and normal retinal correspondence. Significant predictive factors in esotropia were fusion during prism adaptation, absence of infantile esotropia, and an increase in vertical deviation. The majority of adults with exotropia or esotropia can achieve binocularity after surgery for horizontal concomitant strabismus.
我们对111例成人斜视患者进行了一项回顾性研究，以评估术后双眼视功能，从而确定影响成人水平共同性斜视手术成功率的因素。选择标准包括手术时年龄最小15岁，以及术前使用巴戈里尼氏透镜试验和同视机检查均存在融合功能障碍。采用逻辑回归分析来关联患者因素和术后双眼视功能。我们发现，80例外斜视患者中有52例（65%）、31例内斜视患者中有23例（74.2%）术后实现了融合。外斜视的显著预测因素包括未曾接受过手术、偏斜眼视力>0.5、偏斜眼等效球镜度增加以及视网膜对应正常。内斜视的显著预测因素包括棱镜适应期间的融合、无婴儿型内斜视以及垂直斜视度增加。大多数患有外斜视或内斜视的成人在接受水平共同性斜视手术后可实现双眼视功能。
