BACKGROUND To determine whether a sense of deviation remains in adults with successful motor alignment who fulfil diplopia criteria after surgery and to examine the factors associated with this judgement. METHODS This was a retrospective study. Adult patients defined as having a successful outcome based on more than 1 year of post-operative follow-up visits were included in the study. The sense of deviation was determined at the last visit. Pre- and post-operative deviation and characteristics including age, gender, education level, occupation, diagnosis, size of deviation, extraocular movement (EOM), binocular function, and health-related quality of life (HRQOL) were recorded. RESULTS In total, 22 (24%) of the 91 adults with successful surgical outcomes reported a sense of deviation. No significant differences were noted between subjects with and without a sense of deviation regarding patient demographics, pre- and post-operative deviation, changes in deviation, sensory fusion or EOM. Subjects with a sense of deviation had an increased prevalence of and larger post-operative vertical deviation, poorer stereo function, and lower HRQOL scores than those with no sense of deviation. The presence of post-operative vertical deviation was associated with a sense of deviation. CONCLUSIONS Approximately one-fourth (24%) of adults defined as having successful surgical outcomes who still had a sense of deviation exhibited worse stereo function, higher vertical deviation size and lower HRQOL scores. The presence of 3 to 5 prism dioptres(pd) of vertical deviation would be the main factor associated with a sense of deviation post-operatively.

中文翻译：

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影响斜视患者成功手术结果的成年人自我报告的偏离感的因素。

背景技术为了确定在成功进行运动对准的成年人中，在手术后满足复视标准的成年人中是否仍然存在偏离感，并检查与该判断相关的因素。方法这是一项回顾性研究。该研究包括根据术后随访一年以上定义为具有成功预后的成年患者。在最后一次拜访时确定偏离感。记录术前和术后偏差以及特征，包括年龄，性别，教育程度，职业，诊断，偏差大小，眼外运动（EOM），双眼功能和健康相关生活质量（HRQOL）。结果总共91例手术成功的成年人中有22例（24％）报告有偏差感。在患者的人口统计学，术前和术后的偏差，偏差的变化，感觉融合或EOM方面，有或没有偏差感的受试者之间未发现明显差异。与无偏差感的受试者相比，有偏差感的受试者患病率更高，术后垂直偏差更大，立体声功能较差，HRQOL得分较低。术后垂直偏差的存在与偏差感相关。结论约有四分之一（24％）的成年人被定义为手术成功，但仍然有偏斜感，其立体功能较差，垂直偏斜尺寸较大，HRQOL评分较低。