急性获得性远距内斜视的临床特征初步观察  

Primary observation of clinical features in acute acquired distance esotropia

作　　者：闫丽娟 吉昂[1] 陈序[1] Yan Lijuan;Ji Ang;Chen Xu(Department of Ophthalmology,Beijing Haidian Hospital,Peking University Third Hospital,Beijing 100080,China)

机构地区：[1]北京大学第三医院海淀院区(北京市海淀医院)眼科,100080

出　　处：《眼科》2020年第2期138-141,共4页Ophthalmology in China

摘　　要：目的观察急性获得性远距内斜视的临床特征。设计回顾性病例系列。研究对象18例急性获得性远距内斜视患者。方法回顾患者屈光状态、斜视度等相关眼科检查结果,询问近距离用眼,户外运动等情况。主要指标年龄、远近斜视度、屈光度、每日近距离用眼情况、户外运动时间。结果18例患者中男性11例(61.11%)。均有主诉复视,13例(72.22%)看远时复视、看近无,5例(27.78%)看远看近均复视,看远时加重。患者中计算机应用相关职业13例(72.22%)。平均年龄(26.89±5.20)岁。复视病史平均(14.94±21.09)个月。平均近距离工作时间(13.28±3.52)小时/天(h/d);平均户外活动时间(0.77±0.43)h/d;平均睡眠时间(7.36±0.51)h/d。戴镜全矫后33 cm平均斜视度(7.06±10.98)三棱镜度(PD);6 m平均斜视度(12.83±11.73)PD。双眼平均等效球镜(-3.81±2.11)D。结论急性获得性远距内斜视可发生于高强度近距离用眼而户外活动较少的近视年轻人,以看远时复视为突出特点。Objective To observe the clinical features of acute acquired distance esotropia(AADE).Design Retrospective case series.Participants 18 AADE patients.Methods The optometry,deviation and another related ophthalmic examination were reviewed in 18 AADE patients.Continually near-distance use of eyes for long time,and outdoor activities were questionnaired.Main Outcome Measures Age,near and distance esotropia deviation,diplopia,time of near-distance use of eyes and outdoor activities each day.Results In all 18 patients,11 cases(61.11%)were males.All patients complained diplopia.13 cases(72.22%)had distance diplopia only,5 cases(27.78%)had both near and distance diplopia,but more severe in distance.13 cases(72.22%)were computer aplication related occupation.Mean age was 26.89±5.20 years.Mean diplopia period was 14.94±21.09 month.Mean time of near-distance use was 13.28±3.52 h/d.Mean time of outdoor activities was 0.77±0.43 h/d.Mean sleeping time was 7.36±0.51 h/d.Mean corrected esotropia deviation of 33 cm distance was 7.06±10.98 prism diopters(PD).Mean corrected esotropia deviation of 6 meters distance was 12.83±11.73 PD.Mean equivalent spherical(ES)refraction of both eyes was-3.81±2.11 D.Conclusion AADE can occur in myopia young adults for long time near-distance eye use and rare outdoor activities,which characterized by diplopia when look far away.

关 键 词：远距内斜视 急性获得性内斜视 复视 

分 类 号：R777.41[医药卫生—眼科]