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| Observation of short-term and long-term effects of basic intermittent exotropia correction surgery in children with different age groups#br# |
| WANG Fei GAO Sumin ZHANG Yuan WANG Wenqi▲ |
| Department of Ophthalmology, the Affiliated Huaian No.1 Hospital of Nanjing Medical University, Jiangsu Province, Huaian 223300, China |
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Abstract Objective To explore the short-term and long-term effects of basic intermittent exotropia correction surgery in children with different age groups. Methods A total of 115 children with intermittent exotropia correction surgery in one eye who were admitted to the Affiliated Huaian No.1 Hospital of Nanjing Medical University from February 2017 to January 2020 were selected as research subjects. According to children age, they were divided into low-age group (52 cases) and advanced-age group (63 cases). Both groups were treated with intermittent exotropia correction surgery. The strabismus degree, fusion function, and child-intermittent rxotropia questionnaire scores(Child-IXTQ) were compared between two groups before operation and three months after operation; three months after operation, the short-term clinical effects of two groups were compared; one year after operation, the long-term clinical efficacy of two groups were compared. Results Before operation, there were no statistically significant differences in strabismus degree, fusion function, and Child-IXTQ scores between two groups (P > 0.05). Three months after operation, strabismus degree in two groups were lower than those before operation, and low-age group was lower than advanced-age group (P ＜ 0.05); the Child-IXTQ score and fusion function of two groups were higher than those before operation, and low-age group was higher than advanced-age group (P ＜ 0.05). Three months after operation, the difference in the short-term efficacy between two groups were statistically significant (P ＜ 0.05). One year after operation, There was no statistically significant difference in long-term efficacy between two groups (P > 0.05). Conclusion the short-term clinical efficacy of intermittent exotropia in younger children is better than that in older children, but different age groups have little influence on the long-term effect of intermittent exotropia correction surgery.
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