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Abstract：
To evaluate pre- and postoperative changes in the subjective awareness of exodeviation in patients with intermittent exotropia and compare pediatric and adult patients. This retrospective study included pediatric (6-17 years) and adult patients (≥18 years) with intermittent exotropia who underwent surgery. Patients with subjective awareness of exodeviation associated with exotropia were included. Postoperative improvement was defined as a decrease in the subjective awareness of exodeviation and alleviation of associated symptoms after surgery. Changes in subjective awareness of exodeviation after surgery were evaluated and compared between pediatric and adult patients. Clinical factors associated with postoperative improvement in subjective awareness of exodeviation were analyzed. A total of 195 patients (159 pediatric and 36 adult) were included. Among the included patients, 145 (74.4%, 145/195) reported postoperative improvements in their subjective awareness of exodeviation. A lower percentage of adult patients (15/36, 41.7%) showed postoperative improvement in subjective awareness of exodeviation than that of pediatric patients (130/159, 81.8%, P < .001). The level of distant control was significantly associated with postoperative improvement in subjective awareness of exodeviation in adult patients (odds ratio, 1.151; 95% confidence interval, 0.030-0.758; P = .022). There was a significant difference in the postoperative change in the subjective awareness of exodeviation between pediatric and adult patients with intermittent exotropia. Adult patients are less likely to exhibit postoperative improvement in subjective awareness of exodeviation than pediatric patients. Adult patients with a better level of distant control are more likely to show postoperative improvement in their subjective awareness of exodeviation.
摘要：
评估间歇性外斜视患者对外向的主观认识的术前和术后变化，并比较儿童和成人患者。这项回顾性研究包括接受手术的间歇性外斜视的儿科（6-17岁）和成人（≥18岁）患者。包括具有与外斜视相关的外向的主观意识的患者。术后改善定义为手术后对外向的主观意识降低和相关症状的缓解。评估并比较了小儿和成人患者手术后对外向的主观意识的变化。分析了与术后患者对外偏的主观意识改善相关的临床因素。共纳入195名患者(159名儿科患者和36名成人患者)。在纳入的患者中，145（74.4%，145/195）报告了他们对外向的主观意识的术后改善。与儿科患者相比，成人患者（15/36，41.7%）的术后主观意识改善（130/159，81.8%，P<.001)。远程控制水平与术后成人患者对外向的主观意识的改善显着相关（比值比，1.151；95%置信区间，0.030-0.758；P=.022）。间歇性外斜视的儿童和成人患者在术后对外向偏离的主观认识的变化存在显着差异。与儿科患者相比，成年患者在术后对外向的主观意识方面不太可能表现出改善。远程控制水平较高的成年患者更有可能在术后表现出改善的主观外向意识。
