■了解屈光轮廓,弱视患病率,双眼状态,布朗综合征患者的头部位置有助于临床医生对该综合征更加熟悉。
■布朗综合征被确定为内收中眼睛的主动和被动受限抬高。关于临床特征的信息很少,包括屈光状态,弱视,异常头部姿势(AHP),以及这些患者的偏差类型。
■这项研究回顾性评估了2015年至2022年Farabi眼科医院100名布朗综合征患者的记录,伊朗。
■平均年龄为6.99±6.33岁,包括48名(48%)男性。在74例(74%)和96例(96%)患者中发现了先天性疾病。受影响和未受影响的眼睛的平均CDVA分别为0.05±0.11和0.03±0.06logMAR,分别为(P=0.31)。在单方面情况下,远视,近视,55例(57.29%)出现正视眼,2(2.08%),39只(40.63%)受影响的眼睛,分别。最常见的偏离类型是纯下斜视,在53例(53%)中发现,其次是“合并外斜视和下斜视”,在26例(26%)患者中观察到。远处主要位置的下斜视和水平偏差的平均角度为12.10±8.50和8±13.20棱镜屈光度,分别。在76例(76%)患者中发现了V型。60例合作患者中有13例(21.67%)出现弱视,AHP在66例(66%)患者中被发现,其中“组合下巴向上和对侧脸转向”是最常见的类型。
■大约75%的病例是先天性的,50%有纯正下斜视,75%呈V型,20%有弱视,在67%的患者中观察到AHP。弱视的显着患病率以及AHP的高发生率应提醒临床医生仔细评估布朗综合征患者的感觉融合和弱视。
UNASSIGNED: Understanding the refractive profile, amblyopia prevalence, binocular status, and head position in patients with Brown syndrome help clinicians become more familiar with this syndrome.
UNASSIGNED: Brown syndrome is identified as an active and passive restricted elevation of the eye in adduction. There is little information on clinical features, including refractive status, amblyopia, abnormal head posture (AHP), and types of deviation in these patients.
UNASSIGNED: This study retrospectively evaluated records of 100 Brown syndrome patients from 2015 to 2022 at Farabi Eye Hospital, Iran.
UNASSIGNED: The mean age was 6.99 ± 6.33 years, including 48 (48%) males. A congenital source was found in 74 (74%) and 96 (96%) patients had unilateral involvement. The mean CDVA for the affected and non-affected eyes were 0.05 ± 0.11 and 0.03 ± 0.06 logMAR, respectively (P = 0.31). In unilateral cases, hyperopia, myopia, and emmetropia were observed in 55 (57.29%), 2 (2.08%), and 39 (40.63%) affected eyes, respectively. The most common type of deviation was pure hypotropia, which was found in 53 (53%) cases, followed by \'combined exotropia and hypotropia\' observed in 26 (26%) patients. The mean angle of hypotropia and horizontal deviation in the primary position at distance was 12.10 ± 8.50 and 8 ± 13.20 prism dioptre, respectively. A V-pattern was found in 76 (76%) patients. Amblyopia was observed in 13 (21.67%) of 60 cooperative patients, and AHP was noticed in 66 (66%) patients, in which \"combined chin up and contralateral face turn\" was the most common type.
UNASSIGNED: About 75% of cases were congenital, 50% had pure hypotropia, 75% showed V-pattern, 20% had amblyopia, and AHP was observed in 67% of patients. The remarkable prevalence of amblyopia alongside the high occurrence of AHP should alert clinicians to carefully assess patients with Brown syndrome for sensory fusion and amblyopia.