摘要
Abstract
Objective To analyze the postoperative visual function reconstruction and its associated risk factors in children with intermittent exotropia of different ages.Methods We selected 108 children with intermittent exotropia treated at our hospital from February 2021 to February 2023 and divided them into three age groups based on their age at the time of surgery:3～5 years,6～8 years,and≥9 years.Univariate and multivariate Logistic regression analyses were employed to identify factors affecting postoperative visual function reconstruction.Results Preoperatively,children in the≥9years group showed superior performance in the third-level function of the synoptophore compared to the 3～5 years and 6～8 years groups(P＜0.05).Postoperatively,there were no significant differences in visual function among the three groups(P＞0.05).Univariate analysis indicated that age of onset,disease duration,preoperative stereo vision status,angle of strabismus,ability to control the correct position,and postoperative stereo vision training were associated with postoperative visual function reconstruction(P＜0.05).Multivariate analysis confirmed that a younger age of onset,longer disease dura-tion,larger angle of strabismus,abnormal preoperative stereo vision,inability to control the correct position,and lack of postoperative stereo vision training were independent risk factors(P＜0.05).Conclusions Postoperative visual function reconstruction in children with intermittent exotropia is influenced by various factors,among which age of onset,disease duration,preoperative stereo vision status,angle of strabismus,ability to control the correct position,and postoperative stereo vision training are key factors.The results of this study can guide clinical treatment and postoperative management.关键词
间歇性外斜视/视觉功能/立体视/危险因素Key words
Intermittent exotropia/Visual function/Stereovision/Risk factor
