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Clinical features of acute acquired comitant esotropia in the Chinese populations

Acute acquired comitant esotropia (AACE) is an unusual presentation of esotropia that occurs after infancy. This study was aimed to study the clinical features and the differences between children and adult patients with AACE in the Chinese populations. This was a retrospective analysis of patients...

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Autores principales: Fu, Tao, Wang, Jing, Levin, Moran, Xi, Ping, Li, Dongguo, Li, Junfa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5704802/
https://www.ncbi.nlm.nih.gov/pubmed/29145257
http://dx.doi.org/10.1097/MD.0000000000008528
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author Fu, Tao
Wang, Jing
Levin, Moran
Xi, Ping
Li, Dongguo
Li, Junfa
author_facet Fu, Tao
Wang, Jing
Levin, Moran
Xi, Ping
Li, Dongguo
Li, Junfa
author_sort Fu, Tao
collection PubMed
description Acute acquired comitant esotropia (AACE) is an unusual presentation of esotropia that occurs after infancy. This study was aimed to study the clinical features and the differences between children and adult patients with AACE in the Chinese populations. This was a retrospective analysis of patients diagnosed with AACE over 4 years; 69 patients (25 females and 44 males) were identified. The patients were divided into 3 groups: < 10 year-old (n = 6, 8.7%), 10–18 year-old (n = 23, 33.3%), and ≥18 year-old (n = 40, 58.0%). Patients underwent medical history, brain and orbital computed tomography, and ophthalmological and orthoptic examinations. The refractions of AACE patients varied among age groups: patients < 10 year-old had mild hypermetropia, while older children and adults showed moderate-to-high myopia (P < .001). The mean angles of esotropia were significantly larger in young children compared with older children and adults (P = .005). There was no significant difference in binocularity detected by either synoptophore or TNO stereoscopic testing among different disease durations. Stereopsis detected by synoptophore and TNO testing showed no significant difference at duration within half a year, but the stereopsis measured by TNO was significantly worse than that detected by synoptophore with extending disease duration (P < .05). AACE seems to occur mostly in older children and adults in the Chinese population. Younger children with AACE seem to demonstrate a common trait of mild hypermetropic refractive errors, while myopia can be seen in older children and adult patients. The duration from onset to treatment of esotropia does not affect the preoperative binocularity.
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spelling pubmed-57048022017-12-07 Clinical features of acute acquired comitant esotropia in the Chinese populations Fu, Tao Wang, Jing Levin, Moran Xi, Ping Li, Dongguo Li, Junfa Medicine (Baltimore) 5800 Acute acquired comitant esotropia (AACE) is an unusual presentation of esotropia that occurs after infancy. This study was aimed to study the clinical features and the differences between children and adult patients with AACE in the Chinese populations. This was a retrospective analysis of patients diagnosed with AACE over 4 years; 69 patients (25 females and 44 males) were identified. The patients were divided into 3 groups: < 10 year-old (n = 6, 8.7%), 10–18 year-old (n = 23, 33.3%), and ≥18 year-old (n = 40, 58.0%). Patients underwent medical history, brain and orbital computed tomography, and ophthalmological and orthoptic examinations. The refractions of AACE patients varied among age groups: patients < 10 year-old had mild hypermetropia, while older children and adults showed moderate-to-high myopia (P < .001). The mean angles of esotropia were significantly larger in young children compared with older children and adults (P = .005). There was no significant difference in binocularity detected by either synoptophore or TNO stereoscopic testing among different disease durations. Stereopsis detected by synoptophore and TNO testing showed no significant difference at duration within half a year, but the stereopsis measured by TNO was significantly worse than that detected by synoptophore with extending disease duration (P < .05). AACE seems to occur mostly in older children and adults in the Chinese population. Younger children with AACE seem to demonstrate a common trait of mild hypermetropic refractive errors, while myopia can be seen in older children and adult patients. The duration from onset to treatment of esotropia does not affect the preoperative binocularity. Wolters Kluwer Health 2017-11-17 /pmc/articles/PMC5704802/ /pubmed/29145257 http://dx.doi.org/10.1097/MD.0000000000008528 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle 5800
Fu, Tao
Wang, Jing
Levin, Moran
Xi, Ping
Li, Dongguo
Li, Junfa
Clinical features of acute acquired comitant esotropia in the Chinese populations
title Clinical features of acute acquired comitant esotropia in the Chinese populations
title_full Clinical features of acute acquired comitant esotropia in the Chinese populations
title_fullStr Clinical features of acute acquired comitant esotropia in the Chinese populations
title_full_unstemmed Clinical features of acute acquired comitant esotropia in the Chinese populations
title_short Clinical features of acute acquired comitant esotropia in the Chinese populations
title_sort clinical features of acute acquired comitant esotropia in the chinese populations
topic 5800
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5704802/
https://www.ncbi.nlm.nih.gov/pubmed/29145257
http://dx.doi.org/10.1097/MD.0000000000008528
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