Transient eye closure and ocular preference in patients with intermittent exotropia.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-09-26 DOI:10.1016/j.jaapos.2024.104015

Masoud Rostami, Mohammad Yaser Kiarudi, Samira Hassanzadeh, Mohammad Etezad Razavi, Mahdi Sharifi, Mohammed Ziaei

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Abstract

Purpose: To assess the relationship of sensory and motor ocular dominance to transient eye closure (TEC) under bright light conditions in patients with intermittent exotropia.

Methods: Forty patients (age range, 7-40 years) with intermittent exotropia were included in this prospective study. Motor and sensory ocular dominance were evaluated using the hole-in-the-card and Worth 4-Dot tests. Presence of any outward eye deviation or TEC was assessed and recorded in all participants under bright light conditions. Based on the fusion control grade of exodeviation, patients were assigned to good, fair, and poor control groups, and the results were compared.

Results: A total of 23 patients (58%) showed TEC under bright light: 18 (45%) in the good control group, 14 (35%) in the fair control group, and 8 (20%) in the poor control group. Eighteen patients (56%) with good and fair control showed TEC in the dominant eye. Five (63%) with poor control closed their nondominant eyes, and in all of them, outward eye deviation was observed before TEC. The angle of deviation at far and near and the degree of near stereopsis were not related to presence of TEC (P = 0.70, P = 0.06, and P = 0.34, resp.).

Conclusions: In patients with intermittent exotropia who exhibit TEC under bright light, those with good control tend to close the dominant eye, whereas in the majority of patients with poor control, spontaneous deviation occurs and is then followed by TEC of the nondominant eye.

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间歇性外斜患者的一过性闭眼和眼球偏好。

目的：评估间歇性外斜患者在强光条件下感觉和运动眼支配与瞬目闭合（TEC）的关系：这项前瞻性研究共纳入了 40 名间歇性外斜患者（年龄在 7-40 岁之间）。采用卡孔测试和沃思四点测试评估运动和感觉眼优势。在明亮的光线条件下，对所有参与者的眼球外斜或 TEC 进行评估和记录。根据外偏斜的融合控制等级，将患者分为良好、一般和较差控制组，并对结果进行比较：共有 23 名患者（58%）在强光下显示出 TEC：良好控制组 18 人（45%），一般控制组 14 人（35%），差控制组 8 人（20%）。控制良好和控制一般的 18 名患者（56%）的优势眼出现 TEC。控制较差的 5 名患者（占 63%）闭上了非优势眼，所有这些患者在 TEC 之前都观察到了眼球向外偏斜。远、近视角偏离和近立体视程度与是否存在 TEC 无关（P = 0.70、P = 0.06 和 P = 0.34）：结论：间歇性外斜视患者在强光下出现TEC时，控制力好的患者倾向于闭合优势眼，而大多数控制力差的患者会出现自发偏斜，随后非优势眼出现TEC。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.