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Post-operative analysis of pediatric esotropia associated with high hypermetropia

机译：与高超级肺腹北腹股区的疗法分析

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To describe clinical features, evaluation, surgical management and outcomes in children with esotropia associated with high hypermetropia. Medical records of healthy children who received strabismus surgery for accommodative esotropia with hypermetropia larger than spherical equivalence of +?4.0 diopters from 2009 to 2015, were reviewed. A total of 47 patients were identified. The average age was 2.9?years old. The average spherical equivalence of cycloplegic refraction was +?6.0 diopters (D). All patients presented with large angle esotropia with spectacle correction. Average age of esotropia onset was 1.3?years. Average time between the onset of esotropia to spectacle correction was 7.2?months. Average duration between onset of constant esotropia to strabismus surgery was 28.1?months. Average duration between spectacle correction to strabismus surgery was 21.8?months. Post-operatively, 74.5% of patients achieved ocular alignment within 10 prism diopters (PD) of orthotropia. Overall, 66.0% patients developed sensory fusion. For patients who achieved surgical success, 71.4% developed sensory fusion, compared at 50.0% for patients who were over- or under-corrected (p?=?0.18). For patients who received hyperopic spectacles within 6?months of esotropia onset, 92.3% developed sensory fusion, compared with 54.5% for patients who received hyperopic spectacles at 6?month or later after esotropia onset (p?=?0.02). Strabismus surgery for esotropia with high hypermetropia has high rate of surgical success with low rate of under- or over-correction. There is a trend toward higher rate of sensory fusion for patients with surgical success. Shorter time interval between esotropia onset and receiving hyperopic spectacles is associated with higher rate of sensory fusion development.
机译：描述患有高度高级别患者的患儿的临床特征，评估，手术管理和结果。综述了2009年至2015年从2009年至2015年的+？4.0屈光度的球体对等级患者接受型北方症状的健康儿童的健康儿童的病历。共发现了47名患者。平均年龄为2.9岁。岁。 Cycloplegic折射的平均球形等当量为+Δ6.0屈光度（D）。所有患者均具有大角度勘探矫正。北北口发病的平均年龄为1.3？年。对眼镜矫正勘查开始的平均时间为7.2个月。恒定乌季氏症术中的平均持续时间到斜视手术的28.1个月。眼镜矫正与斜视手术之间的平均持续时间为21.8个月。数月。可操作性地，74.5％的患者在正向斜视的10棱镜屈光度（PD）内实现了眼部对准。总体而言，66.0％患者开发了感觉融合。对于实现手术成功的患者，71.4％发达的感觉融合，较纠正的患者的50.0％（P？= 0.18）。对于在6个月内接受过度眼镜的患者，患有92.3％的发达的感官融合，而患者在北腹喉部发作后6？月或后的过度眼镜（P？= 0.02）。具有高过度静脉瘤的斜视手术具有高速率的手术成功率高，速度低或过度矫正。手术成功患者患有较高的感官融合率较高。辅斜视发作和接收远视眼镜之间的时间间隔短的时间间隔与更高的感官融合开发速率相关。

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