Sensory exotropia versus sensory esotropia: A comparative clinical features study

IF 2.2 Q2 OPHTHALMOLOGY Journal of Optometry Pub Date : 2024-04-24 DOI:10.1016/j.optom.2024.100516
Mohammad Reza Akbari , Alaa Alghurab , Masoud Khorrami-Nejad , Elham Azizi , Babak Masoomian
{"title":"Sensory exotropia versus sensory esotropia: A comparative clinical features study","authors":"Mohammad Reza Akbari ,&nbsp;Alaa Alghurab ,&nbsp;Masoud Khorrami-Nejad ,&nbsp;Elham Azizi ,&nbsp;Babak Masoomian","doi":"10.1016/j.optom.2024.100516","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><p>This study aimed to compare the preoperative clinical features of patients with sensory esotropia (ET) and sensory exotropia (XT).</p></div><div><h3>Methods</h3><p>In a retrospective study, the medical records of 13,252 patients who underwent strabismus surgery were reviewed at the Farabi Eye Hospital, Iran, from 2012 to March 2022. There were 1017 patients with sensory horizontal strabismus whose, in their worse eye, had corrected distance visual acuity (CDVA) equal to or &lt;20/160 tested with the Snellen chart.</p></div><div><h3>Results</h3><p>The mean age of patients was 29.0 ± 12.4 years [574 (56.4%) males and 443 (43.6%) females]. Sensory XT and ET were observed in 717 (70.5%) and 300 (29.5%) patients, respectively (<em>P</em>&lt;.001). The mean CDVA in the strabismic and non-strabismic eyes was 1.40 ± 0.75 and 0.05 ± 0.13, respectively (<em>P</em>&lt;.001). Also, the CDVA in the strabismic eyes was significantly worse in the patients with sensory XT than in the patients with sensory ET (<em>P</em>&lt;.001). Sphere and spherical equivalent (SE) components were more hyperopic in both eyes of patients with sensory ET than sensory XT (<em>P</em>&lt;.001). In sensory ET group, the mean horizontal deviation at far and near was significantly higher than the sensory XT group (both <em>P</em>&lt;.001). The prevalence of moderate and severe amblyopia among all patients with sensory strabismus was 274 (26.9%) and 727 (71.5%), respectively (<em>P</em>&lt;.001). There were 398 (39.1%) patients who needed more than one surgery.</p></div><div><h3>Conclusion</h3><p>The frequency of sensory XT was about 2.5 times more than the sensory ET. Most patients with sensory ET were operated at a younger age, had better CDVA, more hyperopic spherical and SE, and higher angle of deviation compared with patients with sensory XT. The chance of reoperation in patients with sensory strabismus was about 40%.</p></div>","PeriodicalId":46407,"journal":{"name":"Journal of Optometry","volume":"17 3","pages":"Article 100516"},"PeriodicalIF":2.2000,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888429624000049/pdfft?md5=21052348ce33c2a07e76816dcae78747&pid=1-s2.0-S1888429624000049-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Optometry","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1888429624000049","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Purpose

This study aimed to compare the preoperative clinical features of patients with sensory esotropia (ET) and sensory exotropia (XT).

Methods

In a retrospective study, the medical records of 13,252 patients who underwent strabismus surgery were reviewed at the Farabi Eye Hospital, Iran, from 2012 to March 2022. There were 1017 patients with sensory horizontal strabismus whose, in their worse eye, had corrected distance visual acuity (CDVA) equal to or <20/160 tested with the Snellen chart.

Results

The mean age of patients was 29.0 ± 12.4 years [574 (56.4%) males and 443 (43.6%) females]. Sensory XT and ET were observed in 717 (70.5%) and 300 (29.5%) patients, respectively (P<.001). The mean CDVA in the strabismic and non-strabismic eyes was 1.40 ± 0.75 and 0.05 ± 0.13, respectively (P<.001). Also, the CDVA in the strabismic eyes was significantly worse in the patients with sensory XT than in the patients with sensory ET (P<.001). Sphere and spherical equivalent (SE) components were more hyperopic in both eyes of patients with sensory ET than sensory XT (P<.001). In sensory ET group, the mean horizontal deviation at far and near was significantly higher than the sensory XT group (both P<.001). The prevalence of moderate and severe amblyopia among all patients with sensory strabismus was 274 (26.9%) and 727 (71.5%), respectively (P<.001). There were 398 (39.1%) patients who needed more than one surgery.

Conclusion

The frequency of sensory XT was about 2.5 times more than the sensory ET. Most patients with sensory ET were operated at a younger age, had better CDVA, more hyperopic spherical and SE, and higher angle of deviation compared with patients with sensory XT. The chance of reoperation in patients with sensory strabismus was about 40%.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
感觉性外斜视与感觉性内斜视:临床特征对比研究
目的 本研究旨在比较感觉性内斜(ET)和感觉性外斜(XT)患者的术前临床特征。方法 在一项回顾性研究中,研究人员回顾了2012年至2022年3月期间在伊朗法拉比眼科医院接受斜视手术的13252名患者的病历。结果患者的平均年龄为 29.0±12.4 岁[男性 574 人(56.4%),女性 443 人(43.6%)]。分别有 717 名(70.5%)和 300 名(29.5%)患者出现感觉 XT 和 ET(P< .001)。斜视眼和非斜视眼的平均 CDVA 分别为 1.40 ± 0.75 和 0.05 ± 0.13(P< .001)。此外,感觉 XT 患者斜视眼的 CDVA 明显低于感觉 ET 患者(P<.001)。与感觉性 XT 相比,感觉性 ET 患者双眼的球面和球面等效(SE)成分更偏远(P< .001)。感觉性 ET 组的远近平均水平偏差明显高于感觉性 XT 组(均为 P<.001)。在所有感觉性斜视患者中,中度和重度弱视的发病率分别为 274 例(26.9%)和 727 例(71.5%)(P< .001)。结论 感觉性 XT 的发病率约为感觉性 ET 的 2.5 倍。与感觉性 XT 患者相比,大多数感觉性 ET 患者的手术年龄更小、CDVA 更好、远视球面和 SE 更多以及偏斜角度更大。感觉性斜视患者再次手术的几率约为 40%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Journal of Optometry
Journal of Optometry OPHTHALMOLOGY-
CiteScore
5.20
自引率
0.00%
发文量
60
审稿时长
66 days
期刊最新文献
Blue light stimulation of the optic nerve head reduces melatonin levels in rabbit posterior segment Effect of a vergence-accommodation conflict induced during a 30-minute Virtual Reality game on vergence-accommodation parameters and related symptoms Visual performance of a new trifocal intraocular lens design evaluated with a clinical adaptative optics visual simulator Analysis of patient referrals from primary care to ophthalmology. The role of the optometrist Corneal higher-order aberrations in different types of irregular cornea
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1