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Evaluation of lateral incomitance in mid-term follow - up after different surgical methods for basic exotropia in children
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- Author:
- No author available
- Journal Title:
- International Eye Science
- Issue:
- 12
- DOI:
- 10.3980/j.issn.1672-5123.2022.12.32
- Key Word:
- 基本型外斜视;侧转非共同性;矫正效果;单眼一退一截术;双眼外直肌后徙术
Abstract： 目的:研究不同手术方法治疗儿童基本型外斜视与术后侧转非共同性发生及矫正效果相关性.方法:回顾性研究.选取2018-06/2020-12于我院眼科接受治疗的180例基本型外斜视患儿临床资料.根据手术方式分为单眼一退一截术组(R&R组)104例和双眼外直肌后徙术组(BLR-rec组)76例.比较两组患者一般资料、手术矫正效果,以及随访期间手术斜视度数、侧转非共同性发生情况.结果:两组患者术后3d,1、6mo视近、视远斜视度比较均无差异(均P>0.05).R&R组术后不同时间点正位率高于BLR-rec组(P<0.05).R&R组较BLR-rec组发生侧转非共同性的风险更低(OR=0.524,Waldχ2=4.260,P=0.039).两组患者术后6mo主要表现在水平直肌手术眼外展方向注视,但两组患儿视远和视近侧转非共同性发生率均无差异(均P>0.05).结论:R&R对于儿童基本型外斜视的矫正效果优于BLR-rec术式,可降低侧转非共同性发生情况.
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