Risk Factors and Preventive Measures of Postoperative Visual Recovery in Children with Intermittent Exotropia
Objective To analyze the risk factors of postoperative visual acuity recovery in children with Intermittent exotropia(IXT)and develop preventive measures.Methods A retrospective analysis was performed on 145 patients with IXT who underwent surgical treatment in the author's hospital from May 2020 to May 2022,According to the evaluation criteria of strabismus efficacy formulated by the National Amblyopia and Strabismus Prevention and Treatment Group of Chinese Ophthalmology Branch,the surgical efficacy was evaluated.Overcorrection was≥+15PD,undercorrection was≤-15PD,and the positive position was within 15pd of the first eye position.Under-correction and over-correction were taken as invalid group(60 cases),and patients with positive position were taken as effective group(85 cases).The data of patients were collected,and the influencing factors of postoperative visual recovery of IXT children were analyzed by univariate and multivariate Logistic regression,and the ROC curve was drawn to evaluate the accuracy of each influencing factor.Results There were significant differences in the age of operation,preoperative visual near inclination,strabismus type and time of watching electronic equipment every day between the two groups(P＜0.05).Further multivariate Logistic regression analysis showed that surgical age,preoperative visual acuity inclination,and lack of aggregation IXT were the factors affecting postoperative visual recovery of IXT children(P＜0.05).The ROC curve was drawn to evaluate the accuracy of the influence of various factors on the postoperative visual recovery of IXT children.The AUC under the ROC curve was above 0.75,with a moderate accuracy.Conclusion The preoperative visual acuity inclination,strabismus type and operation age are the factors that affect the postoperative visual recovery of IXT children,and targeted measures should be taken according to the situation of children,so as to improve the postoperative visual recovery of children.
万方数据
维普
