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Relationship Between the Clinical Factors and Deviation Control in Intermittent Exotropia.
Journal of Pediatric Ophthalmology and Strabismus ( IF 1.2 ) Pub Date : 2021-09-30 , DOI: 10.3928/01913913-20210723-01
Gülce Gökgöz Özişik , Guven Gokgoz , Cagatay Caglar , Hasan Basri Cakmak

PURPOSE To establish whether clinical factors were correlated with deviation control in intermittent exotropia. METHODS This retrospective study included 54 patients with intermittent exotropia. The patient's sex, family history, age at first admission, best corrected visual acuity, refractive errors after cycloplegia, angles of ocular deviation at near and distance, and near, distance, and total deviation control were evaluated. Ocular deviation controls were determined according to the Mayo Clinic's office-based scale. Correlation analysis was performed between the deviation control and the determined clinical factors. RESULTS Spearman correlation analyses revealed a mild correlation between age with total exotropia control score and age with the control of near exotropia control score (r = 0.320, P = .018 and r = 0.339, P = .012, respectively). The angle of deviation at near showed a significant moderate correlation between total exotropia control score and near exotropia control score (r = 0.523, P < .001 and r = 0.780, P < .001, respectively). The deviation angle at distance showed a mild correlation with distance exotropia control score and total exotropia control score (r = 0.423, P = .001 and r = 0.288, P = .034, respectively). The angle of deviation at distance showed a mild correlation with the angle of deviation at near (r = 0.359, P = .008). The deviation angle at distance was established as an independent factor for predicting total exotropia score (P = .037, P = .015, respectively). CONCLUSIONS The high deviation angle correlates positively with poor deviation control. The distance deviation angle is an independent predictor of total deviation control for the first time in the literature. [J Pediatr Ophthalmol Strabismus. 2022;59(1):53-59.].

中文翻译:

间歇性外斜视临床因素与偏差控制的关系。

目的 确定临床因素是否与间歇性外斜视的偏差控制相关。方法 这项回顾性研究包括 54 名间歇性外斜视患者。评估患者的性别、家族史、首次入院年龄、最佳矫正视力、睫状肌麻痹后屈光不正、近距和远距眼偏角以及近距、远距和总偏差控制。根据 Mayo Clinic 的办公室量表确定眼部偏差控制。在偏差控制与确定的临床因素之间进行相关分析。结果 Spearman 相关分析显示年龄与外斜视控制总分和年龄与近外斜视控制分之间存在轻度相关性(r = 0.320,P = .018 和 r = 0.339,P = .012,分别)。近处的偏差角度显示总外斜视控制评分和近外斜视控制评分之间存在显着的中度相关性(分别为 r = 0.523,P < .001 和 r = 0.780,P < .001)。距离偏差角与距离外斜视控制评分和总外斜视控制评分有轻微的相关性(分别为 r = 0.423,P = .001 和 r = 0.288,P = .034)。远处的偏离角与近处的偏离角有轻微的相关性(r = 0.359,P = .008)。距离偏差角被确定为预测总外斜视评分的独立因素(分别为 P = .037,P = .015)。结论 高偏差角与差的偏差控制呈正相关。距离偏差角在文献中首次成为总偏差控制的独立预测指标。[J 小儿眼科斜视。2022;59(1):53-59.]。
更新日期:2021-09-01
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