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Dai S, Sun W, Xu H, Wang Y, Liu Y, Han A, Han L, Wang J, Liao R, Liu S, Gao Y, Han H. Effect of Applying Binocular Visual Training after Slanted Lateral Rectus Recession on Orthophoric Rate and Binocular Visual Function Recovery on Patients with Convergence Insufficiency-Type Intermittent Exotropia. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE : ECAM 2021; 2021:7202319. [PMID: 34697548 PMCID: PMC8541848 DOI: 10.1155/2021/7202319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Accepted: 09/24/2021] [Indexed: 11/17/2022]
Abstract
OBJECTIVE To explore the effect of applying binocular visual training after slanted lateral rectus recession on orthophoric rate and binocular visual function recovery on patients with convergence insufficiency-type intermittent exotropia (CI-IXT). METHODS A total of 76 CI-IXT child patients treated at the Strabismus and Pediatric Ophthalmology Department of our hospital from June 2019 to June 2020 were selected as the research objects, and those who met the inclusion criteria were equally divided into group A (63 eyes) and group B (61 eyes) according to the sealed envelope randomization. All child patients accepted the slanted lateral rectus recession, and after that, those in group A accepted the binocular visual training and those in group B accepted the conventional visual function rehabilitation training, so as to compare their position of eye, the best corrected visual acuity, etc., after training for statistical analysis. RESULTS Compared with group B after one month of surgery, group A had significantly less patients with grade I binocular vision function (P < 0.001) and more patients with grade II and III vision function (P < 0.05); between group A and group B, after 3 months and 6 months of treatment, the number of eyes with normal stereoscopic vision was significantly higher in group A (P < 0.05); at 15 days, 1 month, 3 months, and 6 months of treatment, the visual strain scores of group A were significantly lower (P < 0.001); after treatment, the number of orthophoria eyes was significantly higher in group A (P < 0.001), while the numbers of overcorrected eyes and undercorrected eyes were significantly higher in group B (P < 0.001); and the total incidence rate of adverse reactions was significantly lower in group A (P < 0.05). CONCLUSION Applying binocular visual training to child patients with CI-IXT after slanted lateral rectus recession can promote the recovery of binocular vision and ensure higher safety, and further study will help to establish a better solution for the affected children.
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Affiliation(s)
- Shuying Dai
- Department of Strabismus and Pediatric Ophthalmology, Hebei Eye Hospital, Xingtai 054000, Hebei Province, China
| | - Weifeng Sun
- Department of Strabismus and Pediatric Ophthalmology, Hebei Eye Hospital, Xingtai 054000, Hebei Province, China
| | - Hongjia Xu
- Department of Strabismus and Pediatric Ophthalmology, Hebei Eye Hospital, Xingtai 054000, Hebei Province, China
| | - Yanan Wang
- Department of Strabismus and Pediatric Ophthalmology, Hebei Eye Hospital, Xingtai 054000, Hebei Province, China
| | - Yuan Liu
- Department of Strabismus and Pediatric Ophthalmology, Hebei Eye Hospital, Xingtai 054000, Hebei Province, China
| | - Aijun Han
- Department of Strabismus and Pediatric Ophthalmology, Hebei Eye Hospital, Xingtai 054000, Hebei Province, China
| | - Lixiao Han
- Department of Strabismus and Pediatric Ophthalmology, Hebei Eye Hospital, Xingtai 054000, Hebei Province, China
| | - Juan Wang
- Department of Strabismus and Pediatric Ophthalmology, Hebei Eye Hospital, Xingtai 054000, Hebei Province, China
| | - Rujuan Liao
- Department of Strabismus and Pediatric Ophthalmology, Hebei Eye Hospital, Xingtai 054000, Hebei Province, China
| | - Sujiang Liu
- Department of Strabismus and Pediatric Ophthalmology, Hebei Eye Hospital, Xingtai 054000, Hebei Province, China
| | - Yu Gao
- Department of Strabismus and Pediatric Ophthalmology, Hebei Eye Hospital, Xingtai 054000, Hebei Province, China
| | - Huifang Han
- Department of Strabismus and Pediatric Ophthalmology, Hebei Eye Hospital, Xingtai 054000, Hebei Province, China
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Guo J, Bi X, Chen SN, Chen S, He GH, Wu B, Zhang W, Wang J. Efficacy of internal limiting membrane peeling for diabetic macular edema after preoperative anti-vascular endothelial growth factor injection. Int J Ophthalmol 2020; 13:1758-1764. [PMID: 33215007 DOI: 10.18240/ijo.2020.11.12] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Accepted: 08/26/2020] [Indexed: 11/23/2022] Open
Abstract
AIM To explore the efficacy of minimally invasive vitrectomy (MIV) with or without internal limiting membrane (ILM) peeling on the treatment of diabetic macular edema (DME) in proliferative diabetic retinopathy (PDR) combining with preoperative anti-vascular endothelial growth factor (anti-VEGF) injection. METHODS Totally 132 eyes (132 patients) diagnosed PDR with DME were included between June 2015 and June 2018 in Tianjin Eye Hospital. The single MIV treatment group included 68 eyes and the MIV combined with ILM peeling group included 64 eyes. Anti-VEGF drugs were injected intravitreally 1wk before the operation and the period of follow-up was 1 to 3y. Best-corrected visual acuity (BCVA), central retinal thickness (CRT), total macular volume (TMV), macular edema (ME) severity, intraocular pressure (IOP), and complications were recorded. Prognostic factors of visual acuity following ILM peeling were analyzed. RESULTS The BCVA was higher than preoperative values at 1, 3, 6, and 12mo after surgery in both groups (all P<0.05). At 6 and 12mo, the BCVA of the combined group was significantly higher than that of the MIV only group (0.52±0.23 vs 0.64±0.29 logMAR, P=0.011 in 6mo; 0.41±0.25 vs 0.52±0.25 logMAR, P=0.008 in 12mo). Mean CRT values postoperative were significantly lower than preoperative values in both groups from the 1st month (1mo 397.65±106.18 vs 451.94±118.88 µm in MIV only group; 388.88±108.68 vs 464.36±111.53 µm in combined group; both P<0.05) and decreased gradually. The differences between the two groups were statistically significant at 3, 6, and 12mo (P=0.004, 0.003, 0.00 respectively). The TMV was decreased from the 3rd month in the single treatment group (3mo 11.14±1.66 vs 12.20±2.09 mm3, P<0.05). At 12mo, the proportion of eyes with edema that had CRT more than 350 µm was significantly lower than before surgery (13.24% vs 77.94% in MIV only group; 1.56% vs 81.25% in combined group; both P<0.05). There was no significant difference in the recurrence incidence of macular epiretinal membrane, ME, transient IOP increase, vitreous rebleeding, or traction retinal detachment between the two groups. BCVA after ILM excision was positively correlated with the CRT and ME degree before and after surgery (r=0.430, 0.485, respectively; P<0.05). CONCLUSION MIV combined with ILM peeling accelerates the absorption of ME, improves vision, reduces the postoperative CRT and TMV, and reduces the recurrence rate of postoperative ME.
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Affiliation(s)
- Jing Guo
- Clinical College of Ophthalmology, Tianjin Medical University, Tianjin 300070, China.,Department of Ophthalmology, Guangdong Hospital of Traditional Chinese Medicine, Guangzhou 510120, Guangdong Province, China
| | - Xue Bi
- Clinical College of Ophthalmology, Tianjin Medical University, Tianjin 300070, China.,Tianjin Eye Hospital, Tianjin Eye Institute, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin 300020, China
| | - Shan-Na Chen
- Clinical College of Ophthalmology, Tianjin Medical University, Tianjin 300070, China.,Tianjin Eye Hospital, Tianjin Eye Institute, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin 300020, China.,Xiamen Kehong Eye Hospital, Xiamen 361000, Fujian Province, China
| | - Song Chen
- Clinical College of Ophthalmology, Tianjin Medical University, Tianjin 300070, China.,Tianjin Eye Hospital, Tianjin Eye Institute, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin 300020, China
| | - Guang-Hui He
- Clinical College of Ophthalmology, Tianjin Medical University, Tianjin 300070, China.,Tianjin Eye Hospital, Tianjin Eye Institute, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin 300020, China
| | - Bin Wu
- Clinical College of Ophthalmology, Tianjin Medical University, Tianjin 300070, China.,Tianjin Eye Hospital, Tianjin Eye Institute, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin 300020, China
| | - Wei Zhang
- Clinical College of Ophthalmology, Tianjin Medical University, Tianjin 300070, China.,Tianjin Eye Hospital, Tianjin Eye Institute, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin 300020, China
| | - Jian Wang
- Clinical College of Ophthalmology, Tianjin Medical University, Tianjin 300070, China.,Tianjin Eye Hospital, Tianjin Eye Institute, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin 300020, China
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