目的探讨共同性外斜视病人主导眼和非主导眼黄斑区视网膜厚度(RT)和脉络膜厚度(CT)的差异。方法收集67例共同性外斜视病人(其中间歇性42例,恒定性25例)以及36例健康志愿者,使用光学相干断层扫描仪测量中心凹及鼻侧、上方、颞侧、下方距...目的探讨共同性外斜视病人主导眼和非主导眼黄斑区视网膜厚度(RT)和脉络膜厚度(CT)的差异。方法收集67例共同性外斜视病人(其中间歇性42例,恒定性25例)以及36例健康志愿者,使用光学相干断层扫描仪测量中心凹及鼻侧、上方、颞侧、下方距中心凹各1、2 mm的RT及CT,比较主导眼和非主导眼CT和RT差异。结果间歇性外斜视病人主导眼中心凹CT显著低于非主导眼(t=-2.906,P<0.01);主导眼中心凹鼻侧1 mm CT显著低于非主导眼(t=-2.131,P<0.05)。恒定性外斜视病人主导眼中心凹鼻侧1 mm RT显著高于非主导眼(t=3.265,P<0.01)。其余各测量位置及健康对照组各测量位置双眼间RT及CT差异无统计学意义(P>0.05)。结论间歇性外斜视病人主导眼中心凹、中心凹鼻侧CT较非主导眼偏薄,恒定性外斜视病人主导眼中心凹鼻侧RT较非主导眼偏厚。展开更多
comitant esotropia(AACE).METHODS:A retrospective cohort study was conducted by analyzing 83 patients(case group)with AACE who underwent strabismus correction surgery from January 1,2021 to June 30,2022.Totally 73 outp...comitant esotropia(AACE).METHODS:A retrospective cohort study was conducted by analyzing 83 patients(case group)with AACE who underwent strabismus correction surgery from January 1,2021 to June 30,2022.Totally 73 outpatient volunteers were recruited during the same period as the normal control group.The case group’s binocular vision time,near and distance esotropia angle,and near stereo vision function were recorded,and the age,gender,refractive status,and best-corrected visual acuity(BCVA)of both groups were analyzed.Additionally,multiple logistic regression analysis was conducted using an eye usage condition questionnaire to determine the independent risk factors for AACE.RESULTS:In the case group,61 patients(73.49%)had myopia,with a mean equivalent spherical power(SE)of-3.35±3.31 D(range:+2.75 to-10.62 D)of the right eye and-2.87±3.35 D(range:+2.75 to-11.12 D)of the left eye.The average duration of diplopia in the case group was 29.83±35.72mo,of which 80 patients(96.39%)were primarily with distance diplopia.The near and distance esotropia angle after wearing glasses were 52.36±20.95 prism degree(PD)and 56.71±19.54 PD,respectively,and there was no statistically significant difference between the two(t=1.38,P=0.169).The incidence of improper glasses wearing and unhealthy eye habits in the case group was significantly higher than those in the control group(P<0.05).Close-up work without glasses[β=2.30,odds ratio(OR)=10,95%confidence interval(CI)2.35-42.51,P=0.002]and near work in supine position(β=1.80,OR=6.02,95%CI 3.29-11.02,P<0.001)were independent risk factors for AACE.CONCLUSION:Patients with AACE mainly present with distance diplopia,and there is a high degree of variation in myopia.Near work without wearing glasses and in supine position are independent risk factors for AACE.展开更多
文摘目的探讨共同性外斜视病人主导眼和非主导眼黄斑区视网膜厚度(RT)和脉络膜厚度(CT)的差异。方法收集67例共同性外斜视病人(其中间歇性42例,恒定性25例)以及36例健康志愿者,使用光学相干断层扫描仪测量中心凹及鼻侧、上方、颞侧、下方距中心凹各1、2 mm的RT及CT,比较主导眼和非主导眼CT和RT差异。结果间歇性外斜视病人主导眼中心凹CT显著低于非主导眼(t=-2.906,P<0.01);主导眼中心凹鼻侧1 mm CT显著低于非主导眼(t=-2.131,P<0.05)。恒定性外斜视病人主导眼中心凹鼻侧1 mm RT显著高于非主导眼(t=3.265,P<0.01)。其余各测量位置及健康对照组各测量位置双眼间RT及CT差异无统计学意义(P>0.05)。结论间歇性外斜视病人主导眼中心凹、中心凹鼻侧CT较非主导眼偏薄,恒定性外斜视病人主导眼中心凹鼻侧RT较非主导眼偏厚。
基金Supported by the Guangxi Health Appropriate Technology Development and Application Project(No.S2021093)the Education and Teaching Reform Project of Guangxi Medical University(No.2021XJGA18)。
文摘comitant esotropia(AACE).METHODS:A retrospective cohort study was conducted by analyzing 83 patients(case group)with AACE who underwent strabismus correction surgery from January 1,2021 to June 30,2022.Totally 73 outpatient volunteers were recruited during the same period as the normal control group.The case group’s binocular vision time,near and distance esotropia angle,and near stereo vision function were recorded,and the age,gender,refractive status,and best-corrected visual acuity(BCVA)of both groups were analyzed.Additionally,multiple logistic regression analysis was conducted using an eye usage condition questionnaire to determine the independent risk factors for AACE.RESULTS:In the case group,61 patients(73.49%)had myopia,with a mean equivalent spherical power(SE)of-3.35±3.31 D(range:+2.75 to-10.62 D)of the right eye and-2.87±3.35 D(range:+2.75 to-11.12 D)of the left eye.The average duration of diplopia in the case group was 29.83±35.72mo,of which 80 patients(96.39%)were primarily with distance diplopia.The near and distance esotropia angle after wearing glasses were 52.36±20.95 prism degree(PD)and 56.71±19.54 PD,respectively,and there was no statistically significant difference between the two(t=1.38,P=0.169).The incidence of improper glasses wearing and unhealthy eye habits in the case group was significantly higher than those in the control group(P<0.05).Close-up work without glasses[β=2.30,odds ratio(OR)=10,95%confidence interval(CI)2.35-42.51,P=0.002]and near work in supine position(β=1.80,OR=6.02,95%CI 3.29-11.02,P<0.001)were independent risk factors for AACE.CONCLUSION:Patients with AACE mainly present with distance diplopia,and there is a high degree of variation in myopia.Near work without wearing glasses and in supine position are independent risk factors for AACE.
