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題 名 | Early Predict the Outcomes of Refractive Accommodative Esotropia by Initial Presentations=依屈光性調節性內斜視病人之最初臨床表現來預期治療結果 |
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作 者 | 賴慧群; 陳賢立; 陳永豐; 江奕賢; 楊孟玲; | 書刊名 | 長庚醫學 |
卷 期 | 27:12 2004.12[民93.12] |
頁 次 | 頁887-893 |
分類號 | 416.7551 |
關鍵詞 | 調節性內斜視; 弱視; 屈光度數; 斜視角度; 下斜肌過強; Accommodative esotropia; Visual acuity; Angle of esodeviation; Hyperopia; Inferior oblique overaction; |
語 文 | 英文(English) |
中文摘要 | 背景: 屈光性調節性內斜視病人在治療2年後,依結果可分為純屈光性及部分屈光性兩組。而最初臨床表現之異同則尚未被深入研究。 方法: 由前來本院就診,年齡自6月至8歲之病患中,選取遠視大於+3.00D,合併有內斜視之病例。給予足夠度數的眼鏡矯正,經治療2年後,依治療的結果將病人分成純屈光性內斜視及部分屈光性內斜視兩組。比較兩組病人最初的臨床表現,如:發生年齡,就診年齡,視力,遠視度數,內斜視角度及下斜肌有無過強。 結果: 兩組病人在發生年齡(2.35[]1.74歲比2.01[]1.96歲,p=0.539),就診年齡(3.51[]1.36歲比3.01[]1.70歲,p=0.285),視力(LogMAR: 0.40[]0.25比Log MAR: 0.34[]0.25,p=0.544)及下斜肌過強的比例(32%比47%,p=0.317)並無統計上的差異。兩組病人的視力在治療後皆有顯著進步。而純屈光性內斜視病人的內斜視角度較小(31.4[]11.6 稜鏡角比42.6[]12.6 稜鏡角,p=0.004),遠視度數亦有較深的傾向(5.79[]1.84D 4.79[]1.40 D,p=0.062)。 結論: 病人初次就診時,若遠視度數較高或是內斜視角度較小者,比較可能屬於純屈光性內斜視,治療後內斜視多可改善,較不需要開刀;若遠視度數較低或內斜視角度角度較大者,則比較可能屬於部分屈光性內斜視,於配鏡治療後,仍可能殘留內斜視角度,而需開刀矯正。 |
英文摘要 | Background: The differential diagnosis between fully and partially refractive accommodative esotropia (Ac-ET) depends on outcome after intervention with refraction correction. Whether the differences exist in terms of initial clinical features between these two variants has not been fully explored. Methods: Children between the ages of 6 months and 8 years with esotropia and spherical equivalent greater than +3.00(D) were included in this study. After wearing diopters glasses for at least 2 years, children were classified according to the indexed criteria into the fully Ac-ET group (group A, N=28) partially Ac-ET (group or the B, N=17). Six clinical parameters, including age at onset, age at first visit, visual acuity, refractive error, angle of esodeviation, and presence or absence of inferior oblique overaction at initial presentation were compared between these two groups. Results: The angle of esodeviation (31.4[]11.6 PD vs. 42.6[]12.6 PD, p=0.004) was significantly different between the fully and partially Ac-ET groups, while refraction (+5.79[]1.84D vs. +4.79[]1.40 D, p=0.062) had broderline significance. On the contrary, the age at onset (2.35[]1.74 yrs vs. 2.01[]1.96 yrs, p=0.539), age at first visit (3.51[]1.36 yrs vs. 3.01[]1.70 yrs, p=0.285), inferior oblique overaction (32% vs. 47%, p=0.317), and visual actuity before (LogMAR: 0.40[]0.25 vs. Log MAR: 0.34[]0.25, p=0.544) and after treatment (LogMAR: 0.057[]0.079 vs. Log MAR: 0.051[]0.19, p=0.088) were similar in the two groups. Conclusions: Children with a smaller angle of esodeviation and higher hyperopia were more likely belonging to fully Ac-ET, which can be treated with glasses without the need of surgical intervention. Early detection and early treatment of accommodative esotropia are needed to prevent strabismus and amblyopia. |
本系統中英文摘要資訊取自各篇刊載內容。