Postoperative Shifts in Adult Strabismus Patients with Visual Deficits

doi:10.3109/02713683.2015.1088957

科研成果详情

题名	Postoperative Shifts in Adult Strabismus Patients with Visual Deficits
作者	Xiao, Qiguo 1; Xu, Meiping2; Yu, Huangyun 2; Wang, Yuanyuan 3; Yu, Xinping2
发表日期	2016-08
发表期刊	CURRENT EYE RESEARCH 影响因子和分区
语种	英语
原始文献类型	Article
关键词	Corrective surgery outcome strabismus visual deficit
其他关键词	SURGICAL-CORRECTION ; SENSORY STRABISMUS ; SURGERY ; ALIGNMENT ; EXOTROPIA ; AMBLYOPIA
摘要	Objective: To evaluate the effects of corrective surgery in adult strabismic patients with visual deficits and the stability of postoperative alignments. Methods: Retrospective study. Alignment and binocular visual function were evaluated in adult patients with visual deficits (best corrective visual acuity (BCVA) <0.3 in one or both eyes) with at least 6 months postoperative follow-up. The results in these patients were compared to those in patients with normal or nearly normal vision (BCVA 0.6 in the worse eye) matched by the type of strabismus, magnitude of deviation, age at the time of corrective surgery, and length of time before final follow-up.Results: Sixty-four patients aged 28.3 12.0 (17 similar to 65) years were included in the visual deficit group, and 64 subjects aged 26.8 +/- 9.4 (17 similar to 58) years were included in the matched control group. No significant difference was found in the age or deviation angle between the two groups. The surgery was considered a success in 42 patients (65.6%) in the visual deficit group and 55 patients (86%) in the control group at the last visit ((2) = 7.19, p = 0.008). Normal or partially normal stereo acuity was achieved by three patients in the visual deficit group and 29 patients in the control group. An average shift toward exotropia of 7.3 prism diopter (PD) in the visual deficit group and 4.9 PD in the control group was observed between postoperative day 1 and the final visit (t = 2.08, p = 0.04). Of the 22 patients in the visual deficit group that were defined as not a success, 20 were under-corrected, and two were over-corrected.Conclusion: Adults with poor vision experienced positive results from corrective surgery via a postoperative shift toward exotropia. Full correction of deviation and postoperative shift should be considered before surgery.
资助项目	Chinese Ministry of Health [201302015]
出版者	TAYLOR & FRANCIS INC
出版地	PHILADELPHIA
ISSN	0271-3683
EISSN	1460-2202
卷号	41 期号:8 页码:1016-1020
DOI	10.3109/02713683.2015.1088957
页数	5
WOS类目	Ophthalmology
WOS研究方向	Ophthalmology
WOS记录号	WOS:000382771600002
收录类别	SCIE ; SCOPUS ; PUBMED
URL	查看原文
PubMed ID	26677907
SCOPUSEID	2-s2.0-84950108943
通讯作者地址	[Wang, Yuanyuan]The Central Hospital of Huzhou,No. 198, Hongqi Road,Huzhou,313003,China
Scopus学科分类	Ophthalmology;Sensory Systems;Cellular and Molecular Neuroscience
引用统计	被引频次：2[WOS] [WOS记录] [WOS相关记录]
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/9402
专题	眼视光学院（生物医学工程学院）、附属眼视光医院_视光诊疗中心_斜视弱视专科
通讯作者	Wang, Yuanyuan
作者单位	1.Department of Ophthalmology,The Second Xiangya Hospital of Central South University,Changsha,China; 2.Strabismus Department,Eye Hospital of Wenzhou Medical University,Wenzhou,China; 3.Department of Ophthalmology,Huzhou Central Hospital,Huzhou,China
推荐引用方式 GB/T 7714	Xiao, Qiguo,Xu, Meiping,Yu, Huangyun,et al. Postoperative Shifts in Adult Strabismus Patients with Visual Deficits[J]. CURRENT EYE RESEARCH,2016,41(8):1016-1020.
APA	Xiao, Qiguo, Xu, Meiping, Yu, Huangyun, Wang, Yuanyuan, & Yu, Xinping. (2016). Postoperative Shifts in Adult Strabismus Patients with Visual Deficits. CURRENT EYE RESEARCH, 41(8), 1016-1020.
MLA	Xiao, Qiguo,et al."Postoperative Shifts in Adult Strabismus Patients with Visual Deficits".CURRENT EYE RESEARCH 41.8(2016):1016-1020.