Longitidunal changes in accommodation amplitude after strabismus surgery

IF 1.3 4区医学 Q3 OPHTHALMOLOGY Journal of Aapos Pub Date : 2025-02-01 DOI:10.1016/j.jaapos.2025.104111

Semra Koca MD, Soner Güven MD, Şerife Köksal MD

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Abstract

Purpose

To investigate changes in accommodation amplitude (AA) after strabismus surgery.

Methods

The medical records of patients who underwent full-tendon tenotomy on at least one rectus muscle between January 2023 and July 2023 were reviewed retrospectively. AA was evaluated objectively and monocularly with the autorefractometry (Tonoref III, ARK-1a, NIDEK Co Ltd, Gamagori, Japan). Accommodation amplitude was evaluated preoperatively and at the 1st week, 1st month, and 3rd month postoperatively.

Results

A total of 36 patients (67 eyes) were included. Mean age was 15.6 ± 6.4 (range, 6-28) years. Average AA decreased significantly in the 1st week compared to the preoperative, baseline value (P = 0.006) and increased significantly in the 1st month compared to the 1st week (P = 0.043). In the 3rd month, it increased slightly compared to the 1st month and reached the baseline value again (P = 0.096). Pre- and postoperative 3rd month values did not differ (P = 1).

Conclusions

In this small study cohort, full-thickness rectus tenotomy reduced AA in the early postoperative period, but this impairment proved temporary, and AA regained preoperative values in the 3rd postoperative month.

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斜视手术后调节幅度的纵向变化。

目的探讨斜视手术后调节振幅（AA）的变化。方法回顾性分析2023年1月至2023年7月行至少一侧直肌全肌腱切断术患者的病历。采用自折射法（Tonoref III, ARK-1a, NIDEK Co Ltd, Gamagori, Japan）客观单眼评价AA。术前、术后第1周、第1个月和第3个月评估调节幅度。结果共纳入36例患者（67只眼）。平均年龄15.6±6.4岁（范围6 ~ 28岁）。平均AA在第1周较术前、基线值显著降低（P = 0.006），在第1个月较第1周显著升高（P = 0.043）。第3个月较第1个月略有上升，再次达到基线值（P = 0.096）。术前和术后第3个月的值没有差异（P = 1）。结论在这个小研究队列中，全层直肌肌腱切断术在术后早期降低了AA，但这种损害是暂时的，术后第3个月AA恢复到术前值。

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

Journal of Aapos 医学-小儿科

CiteScore

2.40

自引率

12.50%

发文量

159

审稿时长

55 days

期刊介绍： Journal of AAPOS presents expert information on children''s eye diseases and on strabismus as it affects all age groups. Major articles by leading experts in the field cover clinical and investigative studies, treatments, case reports, surgical techniques, descriptions of instrumentation, current concept reviews, and new diagnostic techniques. The Journal is the official publication of the American Association for Pediatric Ophthalmology and Strabismus.