Analysis of independent risk factors for acute acquired comitant esotropia  

作　　者：Jie Cai Wei-Xia Lai Xia Li Qin Li Ying Cai Jin-Mao Chen 

机构地区：[1]Department of Ophthalmology,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi Zhuang Autonomous Region,China [2]Department of Ophthalmology,the First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530022,Guangxi Zhuang Autonomous Region,China [3]Nanning Aier Eye Hospital,Nanning 530001,Guangxi Zhuang Autonomous Region,China

出　　处：《International Journal of Ophthalmology(English edition)》2023年第11期1854-1859,共6页国际眼科杂志（英文版）

基　　金：Supported by the Guangxi Health Appropriate Technology Development and Application Project(No.S2021093);the Education and Teaching Reform Project of Guangxi Medical University(No.2021XJGA18)。

摘　　要：comitant esotropia(AACE).METHODS:A retrospective cohort study was conducted by analyzing 83 patients(case group)with AACE who underwent strabismus correction surgery from January 1,2021 to June 30,2022.Totally 73 outpatient volunteers were recruited during the same period as the normal control group.The case group’s binocular vision time,near and distance esotropia angle,and near stereo vision function were recorded,and the age,gender,refractive status,and best-corrected visual acuity(BCVA)of both groups were analyzed.Additionally,multiple logistic regression analysis was conducted using an eye usage condition questionnaire to determine the independent risk factors for AACE.RESULTS:In the case group,61 patients(73.49%)had myopia,with a mean equivalent spherical power(SE)of-3.35±3.31 D(range:+2.75 to-10.62 D)of the right eye and-2.87±3.35 D(range:+2.75 to-11.12 D)of the left eye.The average duration of diplopia in the case group was 29.83±35.72mo,of which 80 patients(96.39%)were primarily with distance diplopia.The near and distance esotropia angle after wearing glasses were 52.36±20.95 prism degree(PD)and 56.71±19.54 PD,respectively,and there was no statistically significant difference between the two(t=1.38,P=0.169).The incidence of improper glasses wearing and unhealthy eye habits in the case group was significantly higher than those in the control group(P<0.05).Close-up work without glasses[β=2.30,odds ratio(OR)=10,95%confidence interval(CI)2.35-42.51,P=0.002]and near work in supine position(β=1.80,OR=6.02,95%CI 3.29-11.02,P<0.001)were independent risk factors for AACE.CONCLUSION:Patients with AACE mainly present with distance diplopia,and there is a high degree of variation in myopia.Near work without wearing glasses and in supine position are independent risk factors for AACE.

关 键 词：acute acquired comitant esotropia STRABISMUS risk factors 

分 类 号：R777.41[医药卫生—眼科]