Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2024
Strabismus surgery for patients with acquired nonaccommodative esotropia based on monocular occlusion test.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Masoomian Babak, Othman Niwar, Mirmohammadsadeghi Arash, Akbari Mohammad Reza, Khorrami-Nejad Masoud, Sadeghi Motahhareh
Аннотация
PURPOSE: To evaluate the outcome of surgery based on a monocular occlusion test in patients with acquired nonaccommodative esotropia (ANAET).
METHODS: Patients with ANAET in which the angle of esodeviation increased by at least 10Δ after 1 hour of monocular patching were enrolled prospectively.
RESULTS: A monocular occlusion test was performed for 32 patients, of whom 14 patients showed significant change in the angle of esotropia. The mean age was 21.4 (range, 5-50) years, and 8 (57%) were females. The mean spherical equivalent was 0.24 D for right eyes and 0.35 D for left eyes. The mean angle of esotropia before occlusion was 9.9Δ ± 6.4Δ (range, 2Δ-20Δ) for distance and 13.8Δ ± 6.6Δ (range, 4.5Δ-25Δ) for near. The mean angle of esotropia after monocular occlusion was 22.3Δ ± 5.1Δ (range, 12Δ-30Δ) for distance and 24.6Δ ± 6.2Δ (range, 12Δ-32.5Δ) for near. Bimedial rectus muscle recession was performed for all the patients according to near esotropia after 1 hour of monocular occlusion. Patients were followed for 12 months. Final mean angle of esodeviation was 1.0Δ ± 2.2Δ (range, 0Δ-6Δ) for distance and 3.6Δ ± 3.2Δ (range, 0Δ-10Δ) for near. But for a single case, patients achieved alignment <8Δ of esodeviation after surgery. There was no report of diplopia or other complications postoperatively.
CONCLUSIONS: The findings advocate incorporating monocular occlusion into the preoperative assessment to determine the surgical target in ANAET patients.
METHODS: Patients with ANAET in which the angle of esodeviation increased by at least 10Δ after 1 hour of monocular patching were enrolled prospectively.
RESULTS: A monocular occlusion test was performed for 32 patients, of whom 14 patients showed significant change in the angle of esotropia. The mean age was 21.4 (range, 5-50) years, and 8 (57%) were females. The mean spherical equivalent was 0.24 D for right eyes and 0.35 D for left eyes. The mean angle of esotropia before occlusion was 9.9Δ ± 6.4Δ (range, 2Δ-20Δ) for distance and 13.8Δ ± 6.6Δ (range, 4.5Δ-25Δ) for near. The mean angle of esotropia after monocular occlusion was 22.3Δ ± 5.1Δ (range, 12Δ-30Δ) for distance and 24.6Δ ± 6.2Δ (range, 12Δ-32.5Δ) for near. Bimedial rectus muscle recession was performed for all the patients according to near esotropia after 1 hour of monocular occlusion. Patients were followed for 12 months. Final mean angle of esodeviation was 1.0Δ ± 2.2Δ (range, 0Δ-6Δ) for distance and 3.6Δ ± 3.2Δ (range, 0Δ-10Δ) for near. But for a single case, patients achieved alignment <8Δ of esodeviation after surgery. There was no report of diplopia or other complications postoperatively.
CONCLUSIONS: The findings advocate incorporating monocular occlusion into the preoperative assessment to determine the surgical target in ANAET patients.