机构:[1]Tianjin Med Univ, Tianjin Eye Inst, Tianjin Eye Hosp, Tianjin, Peoples R China;[2]Fuyang Peoples Hosp, Ophthalmol Dept, Fuyang, Anhui, Peoples R China;[3]Capital Med Univ, Beijing Children Hosp, Dept Ophthalmol, Beijing 100040, Peoples R China;临床科室眼科首都医科大学附属北京儿童医院[4]Capital Med Univ, Affiliated Beijing Children Hosp, Dept Ophthalmol, 56 Nan Li Shi Rd, Beijing 100040, Peoples R China临床科室眼科首都医科大学附属北京儿童医院
PURPOSE To evaluate the surgical efficacy of bilateral lateral rectus recession (BLRR) for intermittent exotropia with convergence insufficiency (CI-type X[T]). METHODS The medical records of patients with CI-type X(T) who underwent BLRR on adjustable suture from January 2011 to March 2014 were retrospectively reviewed. Ocular alignment and sensory status were evaluated pre- and postoperatively for each patient. The mean distance and mean near deviation, before and after surgery, as well as the mean near distance difference, were compared. Success was defined as postoperative alignment of esophoria/tropia of <= 5(Delta) and exophoria/tropia of <= 8(Delta) at distance. RESULTS A total of 25 patients were included. The mean exodeviation was significantly reduced, from 32.5(Delta) preoperatively to 0.08(Delta) postoperatively (P < 0.001) at distance and from 45(Delta) preoperatively to 2.4(Delta) (P < 0.001) postoperatively at near. The mean near distance difference was reduced from 16(Delta) preoperatively to 2 postoperatively (P < 0.01). Of the 25 patients, 21 (84%) obtained successful motor alignment, 2 had recurrent exodeviation of >= 10(Delta) at distance, and 2 had overcorrected esotropia with deviation angles of >8(Delta). CONCLUSIONS In this cohort of patients, bilateral lateral rectus recession using an adjustable suture technique successfully treated CI-type X(T).
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81170884]; Key Scientific and Technological Project of Tianjin Health Bureau
第一作者机构:[1]Tianjin Med Univ, Tianjin Eye Inst, Tianjin Eye Hosp, Tianjin, Peoples R China;[2]Fuyang Peoples Hosp, Ophthalmol Dept, Fuyang, Anhui, Peoples R China;
通讯作者:
通讯机构:[1]Tianjin Med Univ, Tianjin Eye Inst, Tianjin Eye Hosp, Tianjin, Peoples R China;[3]Capital Med Univ, Beijing Children Hosp, Dept Ophthalmol, Beijing 100040, Peoples R China;[4]Capital Med Univ, Affiliated Beijing Children Hosp, Dept Ophthalmol, 56 Nan Li Shi Rd, Beijing 100040, Peoples R China
推荐引用方式(GB/T 7714):
Ma Ling,Yang Likun,Li Ningdong.Bilateral lateral rectus muscle recession for the convergence insufficiency type of intermittent exotropia[J].JOURNAL OF AAPOS.2016,20(3):194-196.doi:10.1016/j.jaapos.2016.01.014.
APA:
Ma, Ling,Yang, Likun&Li, Ningdong.(2016).Bilateral lateral rectus muscle recession for the convergence insufficiency type of intermittent exotropia.JOURNAL OF AAPOS,20,(3)
MLA:
Ma, Ling,et al."Bilateral lateral rectus muscle recession for the convergence insufficiency type of intermittent exotropia".JOURNAL OF AAPOS 20..3(2016):194-196