Clinical characteristics and treatment of patients with acute acquired concomitant esotropia in different refractive status
10.3980/j.issn.1672-5123.2023.8.22
- VernacularTitle:不同屈光状态急性共同性内斜视患者的临床特征及治疗体会
- Author:
Gui-Ou ZHANG
1
;
Chang-Mei GUO
1
;
Lu ZHANG
1
;
Na-Min LI
1
;
Jian ZHOU
1
;
Zi-Feng ZHANG
1
Author Information
1. Department of Ophthalmology, Xijing Hospital, Air Force Medical University;Eye Institute of PLA, Xi'an 710032, Shaanxi Province, China
- Publication Type:Journal Article
- Keywords:
acute acquired concomitant esotropia;
refractive status;
strabismus;
visual function
- From:
International Eye Science
2023;23(8):1357-1361
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To analyze the clinical characteristics and treatment of patients with acute acquired concomitant esotropia(AACE)in different refractive status.METHODS: A retrospective analysis was conducted on 110 patients with non-type I AACE treated from January 2020 to January 2022. The non-myopic group(30 cases, spherical equivalent>-0.5D)and the myopic group(80 cases, spherical equivalent≤-0.5D)were divided according to the refractive status. The degree of deviation, accommodative convergence and accommodation ratio(AC/A), visual function, and surgical methods were observed. RESULTS: The non-myopic group had no difference in the degree of near deviation [(47.13±23.54)△] and the degree of distant deviation [(48.90±22.59)△](P>0.05); near deviation [(40.49±26.09)△] of myopic group was less than distant deviation [(50.09±25.41)△](P<0.001); and there was no difference in the same distance between the two groups(P>0.05). AC/A in the non-myopic group(5.40±2.23)was higher than that in the myopic group(3.14±3.10; P<0.05). Patients in the myopic group had better near stereopsis than the non-myopic group(P<0.05). The non-myopic group had a variety of surgical methods, while the myopic group mostly used lateral rectus resection or/and medial rectus recession.CONCLUSION: AACE can occur in different refractive status. Non-myopic patients have the same degree of distant and near strabismus, high AC/A, and varied surgical methods. However, myopic patients have less degree of near deviation than distant deviation and have normal AC/A and better near stereopsis, and lateral rectus resection or/and medial rectus recession are commonly used.
