间歇性外斜视术后中远期眼位的相关因素分析

Analysis of related factors affecting mid-long-term eye position of patients with intermittent exotropia after operation

目的:探讨间歇性外斜视患者术后中远期眼位的影响因素。方法:回顾性分析我院眼科2017-01/2018-08收治的间歇性外斜视患者78例的临床资料,收集患者的斜视类型、手术年龄、术前有无近立体视和斜视度及术后第1d斜视度等资料,探讨术后中远期眼位的影响因素。结果:本研究纳入患者术后中远期眼位正位者47例(60%),其中术前集合不足型患者43例,术后中远期眼位正位者18例(42%);基本型患者31例,术后中远期眼位正位者26例(84%);分开过强型患者4例,术后中远期眼位正位者3例(75%)。单因素分析结果显示,术后中远期眼位正位者与无效者斜视类型、术前视近斜视度具有差异(P<0.05);多因素Logistic回归分析显示,斜视类型(基本型)是影响间歇性外斜视患者术后中远期眼位的危险因素(OR=5.769,95%CI:1.790~18.595,P<0.05)。结论:斜视类型是间歇性外斜视患者术后中远期眼位的独立影响因素,临床应引起足够重视。

·AIM:To explore the influence factors of the mid-long-term postoperative eye position of patients with intermittent exotropia(IXT).·METHODS:Retrospective analysis was performed on the clinical data of 78 patients with intermittent exotropia admitted to the ophthalmology department of our hospital during 2017-01/2018-08.Data of patients with strabismus type,operation age,preoperative binocular vision function and the eye position of preoperative and postoperative day one were collected,to explore the influence factors of the mid-long-term postoperative eye position.·RESULTS:The result display that 47 cases(60%)had positive eye position in the mid-long-term after operation.There were 43 cases of insufficient collection type,18 cases(42%)cured in eye position.The operation was successful in 26 of the 31 cases(84%)of basic type;3 of 4(75%)divergence excess type were successful after operation.The results of univariate analysis showed that the difference of strabismus type and preoperative eye position between the two groups was statistically significant(P<0.05).Multivariate logistic regression analysis showed that type of strabismus(OR:5.769,95%CI:1.790-18.595),was independent influencing factors of the eyes position in the mid-long-term after operation(P<0.05).·CONCLUSION:The strabismus type was independent predictors of the eyes position in the mid-long-term after operation,which should be paid more attention in clinical practice.