间歇性外斜视术后复发的影响因素

doi:10.16352/j.issn.1001-6325.2022.09.1443

基础医学与临床 ›› 2022, Vol. 42 ›› Issue (9): 1443-1448.doi: 10.16352/j.issn.1001-6325.2022.09.1443

间歇性外斜视术后复发的影响因素

王雅晨, 张维嘉, 傅涛^*

首都医科大学附属北京同仁医院北京同仁眼科中心北京市眼科研究所北京市眼科学与视觉科学重点实验室, 北京 100005

收稿日期:2022-03-21 修回日期:2022-07-13 出版日期:2022-09-05 发布日期:2022-09-02
通讯作者: taofu@ccmu.edu.cn
基金资助:
国家自然科学基金(82071001);北京市自然科学基金(7222030)

Influencing factors for recurrence after intermittent exotropia surgery

WANG Ya-chen, ZHANG Wei-jia, FU Tao^*

Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Key Laboratory of Ophthalmology and Visual Science, Beijing Tongren Hospital, Capital Medical University, Beijing 100005, China

Received:2022-03-21 Revised:2022-07-13 Online:2022-09-05 Published:2022-09-02

摘要/Abstract

摘要： 手术是目前矫正间歇性外斜视(IXT)最为常用的方法,并且可取得较为良好的临床治疗效果。但是仍有部分患者会出现术后外斜视复发,且复发率随术后时间延长而不断增加。目前对于间歇性外斜视术后复发的影响因素尚有许多争议,发病年龄及手术年龄、术前及术后早期的斜视角度、视觉功能异常、斜视类型及手术方式、术前评估方法等因素都可能影响术后复发率。本文总结了近年来对相关影响因素的不同研究结果,并提示了各因素之间的相互影响,以期加深对手术适应证的理解,并提出未来研究方向。

关键词: 间歇性外斜视, 复发, 影响因素

Abstract: Surgical operation is the most commonly used method to correct intermittent exotropia(IXT), and the results are relatively positive. However, after surgery, some patients will experience a recurrence of exotropia. The recurrence rate increases with time. At present, there is no unified conclusion on the factors in the recurrence after intermittent exotropia surgery. Age at onset and surgery, preoperative and initial postoperative deviation, abnormal visual function, type of intermittent exotropia, operation pathway and preoperative assessment method may all be the risk factors. This review presents a conclusion on different results of recent studies and indication of the interaction among factors in order to gain a better understanding of the surgical indication and provide guidance for future research directions.

Key words: intermittent exotropia, recurrence, influence factors

中图分类号:

王雅晨, 张维嘉, 傅涛. 间歇性外斜视术后复发的影响因素[J]. 基础医学与临床, 2022, 42(9): 1443-1448.

WANG Ya-chen, ZHANG Wei-jia, FU Tao. Influencing factors for recurrence after intermittent exotropia surgery[J]. Basic & Clinical Medicine, 2022, 42(9): 1443-1448.

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间歇性外斜视术后复发的影响因素

Influencing factors for recurrence after intermittent exotropia surgery

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