Abstract：
Purpose: To compare the motor and sensory outcomes of strabismus surgery and the factors affecting surgical success in acquired acute non-accomodative esotropia (ANAET) and partially accommodative refractive esotropia (pARET). Methods: A retrospective chart review of patients with ANAET and pARET who underwent unilateral or bilateral horizontal rectus muscle surgery between January 2020 and December 2021 was conducted. Patients with postoperative follow-up of at least six weeks were included. Patients with pattern deviation, lateral incomitance, and near-distance disparity were excluded. Motor success was defined as a postoperative deviation within eight prism diopters of orthophoria. Sensory success was defined as presence of binocular single vision (BSV) for both distance and near (Worth four dot test). The effect of factors like age at onset, age at surgery, amblyopia before surgery, duration of squint before treatment, presence or absence and magnitude of vertical deviation, preoperative angle of deviation, and spherical equivalent on the motor and sensory success in each group were analyzed and compared. Results: 38 patients with ANAET and 33 patients with pARET were included. The mean age of onset of esotropia was 8.55 ± 4.65 years and 4.39 ± 2.27 years (p < .001) and the mean age at surgery was 10.62 ± 4.99 years and 7.89 ± 2.84 years (p = .006) in the ANAET and the pARET group respectively. The mean duration of the final follow-up was 38.51 weeks in the ANAET and 48.68 weeks in the pARET group (p = .089). Patients were successfully aligned for both distance and near in 81.5% of patients in the ANAET and 78.9% of patients in the pARET group at the final follow-up (p. 0.775). A BSV for both distance and near at the final follow-up was seen in 81.2% vs 66.6% of patients in the ANAET and the pARET group respectively (p = .25). A good near stereoacuity (<120 arcsecs) was seen in 60.6% and 41.9% of the ANAET and the pARET groups respectively (p = .175). The percentage of patients in the ANAET group who had orthophoria, any esodeviation, and any exodeviation for distance at the final follow-up was 63.1%, 34.2% and, 2.6%. The percentage of patients in the pARET group in similar categories was 36.3%, 42.4% and, 21.2%. None of the demographic and preoperative factors were found to affect the surgical outcomes in the two groups. Conclusions: The motor and sensory outcomes were similar in the two groups. A higher proportion of ANAET patients remained orthophoric during the follow-up. The patients in the pARET group showed a tendency toward exodrift.
摘要：
目的：比较斜视手术的运动和感觉结果以及影响获得性急性非调节性内斜视（ANAET）和部分调节性内斜视（pARET）手术成功的因素。方法：对2020年1月至2021年12月接受单侧或双侧水平直肌手术的ANAET和pARET患者进行回顾性分析。包括术后随访至少六周的患者。模式偏差的患者，侧向干扰，并排除了近距离差异。运动成功被定义为在八个棱镜屈光度内的术后偏差。感官成功定义为存在远近双眼单视（BSV）（值得四点测试）。发病年龄等因素的影响，手术年龄，手术前弱视,治疗前斜视的持续时间，垂直偏差的存在或不存在和大小，术前偏离角度,并对各组的运动和感觉等值进行分析比较。结果：纳入ANAET患者38例，pARET患者33例。在ANAET和pARET组中，内斜视的平均发病年龄分别为8.55±4.65岁和4.39±2.27岁（p<.001），手术平均年龄为10.62±4.99岁和7.89±2.84岁（p=.006）。最终随访的平均持续时间在ANAET组为38.51周，在pARET组为48.68周（p=.089）。在最终随访时，ANAET中81.5％的患者和pARET组中78.9％的患者在距离和距离上都成功对齐（p0.775).在最终随访时，ANAET和pARET组的患者分别为81.2％和66.6％（p=.25）。在ANAET和pARET组中分别观察到60.6％和41.9％的近立体敏锐度（<120弧秒）（p=.175）。ANAET组的患者有正骨的百分比，任何偏差，最终随访时距离的任何偏差为63.1%，34.2%和，2.6%。pARET组中相似类别的患者百分比为36.3％，42.4%和,21.2%。没有发现人口统计学和术前因素会影响两组的手术结果。结论：两组的运动和感觉结果相似。在随访期间，ANAET患者的比例更高。pARET组的患者表现出外移的趋势。
