Abstract：
UNASSIGNED: To analyze characteristics and trends of strabismus surgeries in an Israeli hospital over 2 decades.
UNASSIGNED: A descriptive, retrospective study including all strabismus surgeries (666) performed during 2000-2019 at an Israeli tertiary hospital. Electronic medical records (EMRs) were directly retrieved to produce an anonymized database.
UNASSIGNED: No trends were evident for age, sex, or ethnicity (p = .294, 0.914 and p = .167, respectively). The mean number of horizontal muscles remained stable, while an increase was noted in the mean number of muscles operated on to repair vertical strabismus (p < .0001). Among acquired cases, a 2.67-fold increase was noted in the proportion of spontaneous strabismus and a decrease of traumatic causes to a third (p < .001). An increase was noted in the proportion of exotropia among horizontal strabismus corrections (p = .022), and esotropia correction techniques distribution changed (p = .004). Reoperations comprised a third of all cases during both decades (p = .198). Reoperations were more prevalent among younger and Jewish patients (p < .001 and p = .024, respectively). Techniques to correct esotropia and exotropia differed significantly between primary surgeries and reoperations (p < .00001 each).
UNASSIGNED: The complexity of surgical techniques increased over time. Ethnic minorities were less prone to reoperations.
UNASSIGNED: A descriptive, retrospective study including all strabismus surgeries (666) performed during 2000-2019 at an Israeli tertiary hospital. Electronic medical records (EMRs) were directly retrieved to produce an anonymized database.
UNASSIGNED: No trends were evident for age, sex, or ethnicity (p = .294, 0.914 and p = .167, respectively). The mean number of horizontal muscles remained stable, while an increase was noted in the mean number of muscles operated on to repair vertical strabismus (p < .0001). Among acquired cases, a 2.67-fold increase was noted in the proportion of spontaneous strabismus and a decrease of traumatic causes to a third (p < .001). An increase was noted in the proportion of exotropia among horizontal strabismus corrections (p = .022), and esotropia correction techniques distribution changed (p = .004). Reoperations comprised a third of all cases during both decades (p = .198). Reoperations were more prevalent among younger and Jewish patients (p < .001 and p = .024, respectively). Techniques to correct esotropia and exotropia differed significantly between primary surgeries and reoperations (p < .00001 each).
UNASSIGNED: The complexity of surgical techniques increased over time. Ethnic minorities were less prone to reoperations.
摘要：
■分析20年来以色列医院斜视手术的特点和趋势。
■描述性的，回顾性研究包括2000-2019年在以色列三级医院进行的所有斜视手术（666）。直接检索电子病历（EMR）以产生匿名数据库。
■年龄没有明显的趋势，性别,或种族（分别为p=0.294、0.914和p=0.167）。水平肌肉的平均数量保持稳定，同时观察到修复垂直斜视的平均肌肉数量增加（p<.0001）。在获得性案件中，自发性斜视的比例增加了2.67倍，创伤性原因减少了三分之一（p<.001）。注意到水平斜视矫正中的外斜视比例增加（p=0.022），内斜视矫正技术分布改变(p=.004)。在这两个十年中，再手术占所有病例的三分之一(p=.198)。再次手术在年轻和犹太患者中更为普遍（分别为p<.001和p=.024）。纠正内斜视和外斜视的技术在初次手术和再次手术之间存在显着差异（p<.00001）。
■手术技术的复杂性随着时间的推移而增加。少数族裔较不容易再操作。
■描述性的，回顾性研究包括2000-2019年在以色列三级医院进行的所有斜视手术（666）。直接检索电子病历（EMR）以产生匿名数据库。
■年龄没有明显的趋势，性别,或种族（分别为p=0.294、0.914和p=0.167）。水平肌肉的平均数量保持稳定，同时观察到修复垂直斜视的平均肌肉数量增加（p<.0001）。在获得性案件中，自发性斜视的比例增加了2.67倍，创伤性原因减少了三分之一（p<.001）。注意到水平斜视矫正中的外斜视比例增加（p=0.022），内斜视矫正技术分布改变(p=.004)。在这两个十年中，再手术占所有病例的三分之一(p=.198)。再次手术在年轻和犹太患者中更为普遍（分别为p<.001和p=.024）。纠正内斜视和外斜视的技术在初次手术和再次手术之间存在显着差异（p<.00001）。
■手术技术的复杂性随着时间的推移而增加。少数族裔较不容易再操作。
