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.

参考文献 25

[1]	Kim DH, Yang HK, Hwang JM. Long term surgical outcomes of unilateral recession-resection versus bilateral lateral rectus recession in basic-type intermittent exotropia in children[J]. Sci Rep, 2021, 11: 19383. doi: 10.1038/s41598-021-98801-3.
[2]	Lim SH, Hong JS, Kim MM. Prognostic factors for recurrence with unilateral recess-resect procedure in patients with intermittent exotropia[J]. Eye (Lond), 2011, 25: 449-454.
[3]	Repka MX, Chandler DL, Holmes JM, et al. The relationship of age and other baseline factors to outcome of initial surgery for intermittent exotropia[J]. Am J Ophthalmol, 2020, 212: 153-161.
[4]	Dong Y, Nan L, Liu YY. Surgery at early versus late for intermittent exotropia: a Meta-analysis and systematic review[J]. Int J Ophthalmol, 2021, 14: 582-588.
[5]	Oh SY, Choi HY, Lee JY, et al. Surgical outcomes related to degree of unilateral lateral rectus muscle recession in intermittent exotropia of 20 prism diopters[J]. Jpn J Ophthalmol, 2020, 64: 621-627.
[6]	Choi DD, Noh H, Park KA, et al. Survival analysis of adult and children intermittent exotropia using a matched case-control design[J]. Sci Rep, 2019, 9: 575. doi: 10.1038/s41598-018-38160-8.
[7]	刘艳丽, 张伟, 陈霞, 等. 基本型间歇性外斜视手术成功率的相关因素分析[J]. 中华实验眼科杂志, 2019, 37: 101-105.
[8]	Zou D, Casafina C, Whiteman A, et al. Predictors of surgical success in patients with intermittent exotropia[J]. J AAPOS, 2017, 21: 15-18.
[9]	Lee JY, Ko SJ, Baek SU. Survival analysis following early surgical success in intermittent exotropia surgery[J]. Int J Ophthalmol, 2014, 7: 528-533.
[10]	Kim S, Ha SG, Suh YW, et al. Clinical factors affecting the rate of exodrift after surgery in patients with basic intermittent exotropia[J]. Sci Rep, 2021, 11: 6484.doi: 10.1038/s41598-021-86004-9.
[11]	Xie F, Zhao K, Zhang W. Comparison of surgical outcomes between bilateral recession and unilateral recession-resection in moderate-angle intermittent exotropia[J]. J AAPOS, 2019, 23: 79. e1-79, e7. doi: 10.1016/j.jaapos.2018.11.007.
[12]	Hong S, Ha S, Seo Y, et al. Analysis of postoperative outcomes in patients with intermittent exotropia according to preoperative change of angle of deviation[J]. Korean J Ophthalmol, 2021, 35: 130-135.
[13]	Beisse F, Koch M, Uhlmann L, et al. Consideration of eyeball length and prismatic side-effects of spectacle lenses in strabismus surgery-a randomised, double-blind interventional study[J]. Graefes Arch Clin Exp Ophthalmol, 2020, 258: 1319-1326.
[14]	Ahn YJ, Park YY, Chung YW, et al. Surgical and sensory outcomes in patients with intermittent exotropia according to preoperative refractive error[J]. Eye (Lond), 2019, 33: 1314-1320.
[15]	Wakayama A, Seki Y, Takahashi R, et al. Role of fusional convergence amplitude in postoperative phoria maintenance in children with intermittent exotropia[J]. Jpn J Ophthalmol, 2018, 62: 307-314.
[16]	韩惠芳, 辛柳青, 孙卫锋, 等. 儿童间歇性外斜视术后远期眼位回退相关因素分析[J]. 中国斜视与小儿眼科杂志, 2019, 27: 16-18.
[17]	Wu Y, Xu M, Zhang J, et al. Can clinical measures of postoperative binocular function predict the long-term stability of postoperative alignment in intermittent exotropia?[J]. J Ophthalmol, 2020, 2020: 7392165.doi: 10.1155/2020/7392165.
[18]	曾俊, 刘陇黔. 间歇性外斜视术后中远期眼位的相关因素分析[J]. 国际眼科杂志, 2020, 20: 1448-1451.
[19]	郭雅图, 田璐, 张伟. 双眼外直肌后徙与单眼一退一截两种术式治疗基本型间歇性外斜视疗效比较的Meta分析[J]. 国际眼科杂志, 2019, 19: 46-50.
[20]	Lee HJ, Kim SJ. Long-term outcomes following resection-recession versus plication-recession in children with intermittent exotropia[J]. Br J Ophthalmol, 2020, 104: 350-356.
[21]	Bae GH, Bae SH, Choi DG. Surgical outcomes of intermittent exotropia according to exotropia type based on distance/near differences[J]. PLoS One, 2019, 14: e0214478.doi: 10.1371/journal.pone.0214478.
[22]	Burian HM, Spivey BE. The surgical management of exodeviations[J]. Trans Am Ophthalmol Soc, 1964, 62: 276-306.
[23]	Kushner BJ. Selective surgery for intermittent exotropia based on distance/near differences[J]. Arch Ophthalmol, 1998, 116: 324-328.
[24]	晁小蕊, 谢艳艳, 李权达, 等. 不同术式治疗集合不足型间歇性外斜视患儿的效果及对视觉功能的影响[J]. 临床医学研究与实践, 2021, 6: 64-66.
[25]	Jang YK, Bae SH, Choi DG. Surgical outcomes of unilateral lateral rectus recession versus recess-resect in children with convergence insufficiency type intermittent exotropia[J]. Sci Rep, 2022, 12: 8591.doi: 10.1038/s41598-022-12664-w.

间歇性外斜视术后复发的影响因素

Influencing factors for recurrence after intermittent exotropia surgery

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献 25

相关文章 15

编辑推荐

Metrics

本文评价

[1]	戴靖榕, 肖宝, 李霖, 胡江英, 刘斌. 影响老年新型冠状病毒感染患者院内死亡的因素及风险预测模型的构建[J]. 基础医学与临床, 2024, 44(1): 92-97.
[2]	汤蕊, 雷曙槟, 孙劲旅. 烟曲霉IgG对变应性支气管肺曲霉菌病复发的监测意义[J]. 基础医学与临床, 2023, 43(8): 1280-1283.
[3]	张燕萍, 姚刘旭, 丁倩男, 黄则勇, 李玉红, 黄素琴. 结直肠癌PDX模型成瘤率的影响因素及临床意义[J]. 基础医学与临床, 2023, 43(4): 596-602.
[4]	戴靖榕, 李婕, 何旭, 李杨, 李燕. 云南省某医院老年医学科住院患者认知功能障碍的患病率及影响因素分析[J]. 基础医学与临床, 2023, 43(3): 468-475.
[5]	施佳, 蔡成. 儿童复发性A族链球菌性扁桃体炎免疫机制的研究进展[J]. 基础医学与临床, 2023, 43(2): 336-340.
[6]	刘畅, 郭向阳. 局部麻醉药物在肿瘤转移和复发中作用的研究进展[J]. 基础医学与临床, 2022, 42(3): 512-515.
[7]	惠春霞, 尚书, 钱永刚, 卢爱桃, 郭琳, 李娜. 内蒙古成年女性骨质疏松情况及影响因素[J]. 基础医学与临床, 2022, 42(12): 1911-1915.
[8]	陈志刚, 洪鹏, 杨斌, 田晓军, 王国良, 张树栋, 马潞林. 肾透明细胞癌行保留肾单位手术后复发风险预测模型的构建[J]. 基础医学与临床, 2021, 41(3): 409-414.
[9]	陈英, 袁丽, 李饶, 杨小玲. 糖尿病足患者压力性损伤危险现状调查及影响因素分析[J]. 基础医学与临床, 2021, 41(2): 254-256.
[10]	张良, 刘明永, 刘鹏, 薛鑫, 张良民, 郭乔楠, 赵建华. 骨肉瘤细胞脱逸化疗诱导的细胞衰老可重新增殖成瘤细胞[J]. 基础医学与临床, 2020, 40(2): 187-191.
[11]	及松洁, 张金庆, 张竞, 许婧, 姜旭, 周一新. 骨科医师英语水平现状调查与分析[J]. 基础医学与临床, 2020, 40(11): 1584-1587.
[12]	黎蕊, 刘峡, 孙显松, 李文博, 秦雪, 李洪明, 邱杰. 放射治疗门诊癌患者的需求分析及其影响因素[J]. 基础医学与临床, 2020, 40(11): 1523-1528.
[13]	张燕娜周易冬茅枫关竞红姚儒孙强. 21基因复发风险评分在乳腺浸润性小叶癌中的应用价值[J]. 基础医学与临床, 2019, 39(2): 235-239.
[14]	李敏娜虞雪融丁文蕴刘红波吴勇黄宇光. 患者麻醉医疗服务满意度评价及影响因素分析[J]. 基础医学与临床, 2018, 38(2): 284-288.
[15]	彭霞罗扬珩宋先毅陆义春董延荣段智泉石亚男赵丽娟陆林. 云南省健康成年人脉压差及影响因素分析[J]. 基础医学与临床, 2013, 33(5): 548-551.