scholarly journals 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

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Shuying Dai ◽  
Weifeng Sun ◽  
Hongjia Xu ◽  
Yanan Wang ◽  
Yuan Liu ◽  
...  
Keyword(s):  
Visual Function ◽  
Lateral Rectus ◽  
Intermittent Exotropia ◽  
Visual Training ◽  
Convergence Insufficiency ◽  
Function Recovery ◽  
Child Patients ◽  
Group A ◽  
Group B ◽  
Vision Function

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.

Comparison of adjustable sutures versus nonadjustable sutures in intermittent exotropia

2017 ◽  
Vol 28 (3) ◽  
pp. 264-267 ◽  
Author(s):  
Kamlesh ◽  
Suresh Babu ◽  
Yashpal Goel ◽  
Rupak Brahma Chaudhary ◽  
Anju Rastogi ◽  
...  
Keyword(s):  
Outcome Measures ◽  
Adult Patients ◽  
Lateral Rectus ◽  
Mean Deviation ◽  
Interventional Study ◽  
Intermittent Exotropia ◽  
Group A ◽  
Group B

Purpose: To compare adjustable sutures versus nonadjustable sutures for intermittent exotropia. Methods: In this randomized prospective interventional study, 40 adult patients with intermittent exotropia were randomly divided into 2 equal groups. Both groups underwent bilateral lateral rectus recession. In group A, adjustable suture recession was performed, and in group B, nonadjustable suture recession was performed. Patients were followed up for 6 months and outcome measures were residual deviation, binocular status, and need for resurgery. Results: Success was defined as alignment of 2 eyes <10 prism diopters (PD) of deviation at the end of 12 weeks. Need for resurgery in a 12-week follow-up period was considered to be failure. At the end of the study, 90% of the patients in group A and 85% of the patients were within 10 prism diopters of orthophoria (p = 0.316). At the end of 6 months, mean deviation in group A was 6.20 PD and in group B it was 5.60 PD (p = 0.31). No patient underwent resurgery. Conclusions: Adjustable hang-back recession has no definite added advantage over nonadjustable hang-back recession in intermittent exotropia.

scholarly journals Application Effect of Medical Care Integration Combined with Family Intervention under the Evidence-Based Nursing Mode on Child Patients with Severe Hand-Foot-Mouth Disease and Its Influence on Intestinal Function

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Zhaofang Zhang ◽  
Mei Dong ◽  
Yuejiao Han ◽  
Hui Lin ◽  
Anying Li ◽  
...  
Keyword(s):  
Medical Care ◽  
Family Intervention ◽  
Evidence Based ◽  
Care Integration ◽  
Oral Pain ◽  
Child Patients ◽  
Hand Foot Mouth Disease ◽  
Group A ◽  
Group B ◽  
Evidence Based Nursing

Objective. To explore the application effect of medical care integration combined with family intervention under the evidence-based nursing mode on child patients with severe hand-foot-mouth disease (HFMD) and its influence on intestinal function. Methods. 120 child patients with severe HFMD admitted to Qilu Children’s Hospital of Shandong University from January 2019 to January 2020 were selected as the research object and randomly divided into group A and group B, with 60 cases each. Conventional nursing was performed on patients in group B, and medical care integration combined with family intervention under the evidence-based nursing mode was performed on patients in group A. Patients were assessed after the intervention using the hospital-made treatment adherence scale, PedsQLTM 4.0 (Pediatric Quality of Life Inventory Version 4.0) scale, and the faces pain scale-revised (FPS-R). The levels of gastrointestinal function indicators such as serum endotoxin (ET), diamine oxidase (DAO), and d-lactic acid (D-LA) were measured before and after the intervention, and recovery such as time to clear fever and time to relief of oral pain were recorded in both groups. Results. Children in group A had significantly higher compliance in diet, behaviour, exercise, and medication than group B ( P < 0.05 ); the time to clear fever, time to relief of oral pain, time to healing of oral ulcers, time to relief of skin herpes, time to hospitalization, and time to eating were shorter in group A than those in group B ( P < 0.001 ); all scores on the PedsQLTM 4.0 scale were higher in group A than those in group B after the intervention ( P < 0.001 ); ET, DAO, and D-LA levels decreased in both groups after the intervention, with group A having lower levels than group B ( P < 0.001 ), in addition, group A had lower eating pain scores after the intervention ( P < 0.05 ). Conclusion. Medical care integration combined with family intervention under the evidence-based nursing mode can effectively improve the treatment compliance of child patients with severe HFMD, accelerate their recovery progress, ensure a better prognostic quality of life and gastrointestinal tract function, and reduce the eating pain, indicating that such comprehensive nursing intervention mode should be promoted in practice.

scholarly journals Early Results of Slanted Recession of the Lateral Rectus Muscle for Intermittent Exotropia with Convergence Insufficiency

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Bo Young Chun ◽  
Kyung Min Kang
Keyword(s):  
Rectus Muscle ◽  
Lateral Rectus ◽  
Mean Deviation ◽  
Intermittent Exotropia ◽  
Convergence Insufficiency ◽  
Lateral Rectus Muscle ◽  
Early Results ◽  
Distance Difference ◽  
The Mean

The aim of this study was to evaluate the efficacy of slanted recession of the lateral rectus muscle for intermittent exotropia with convergence insufficiency. This prospective study included 31 patients who underwent slanted lateral rectus recession for intermittent exotropia with convergence insufficiency between June 2010 and June 2012. Following parameters were recorded and analyzed: patient sex, age, preoperative and postoperative near and distance ocular alignment, and changes in stereopsis. The mean age of the patients was 9.2 years. The preoperative mean deviation angle was 32.4 PD at distance and 43.4 PD at near. After 6 months, slanted lateral rectus recession reduced the deviation angles to 2 PD at distance and 3.4 PD at near. In addition, the mean difference between distance and near deviation angles was significantly reduced from 11 PD to 1.4 PD at 6 months postoperatively. Slanted lateral rectus recession for intermittent exotropia with convergence insufficiency in children successfully reduced the distance and near exodeviations and the near-distance difference without increasing the risk of long-term postoperative esotropia or diplopia.

scholarly journals Convergence, Accommodation, Fusion, and Stereopsis: What Keeps the Eyes Aligned in Intermittent Exotropia?

Scientifica ◽  
2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Costantino Schiavi ◽  
Valentina Di Croce ◽  
Laura Primavera ◽  
Filippo Tassi
Keyword(s):  
Patient Group ◽  
Control Group ◽  
Intermittent Exotropia ◽  
Myopic Shift ◽  
Infrared Video ◽  
Group A ◽  
Angle Of Deviation ◽  
Convergence And Divergence ◽  
Group B

Purpose. To investigate the relationships between angle of deviation, fusional convergence and divergence amplitude, AC/A ratio, near point of convergence (NPC), and myopia-phoria in intermittent exotropia (IXT). Methods. 93 patients with IXT, divided into two groups, were recruited in the study. In Group A (73 patients), fusional convergence and divergence amplitudes, NPC, and AC/A ratio were studied and compared with a control group. In Group B (in 20 patients), myopia-phoria while switching from monocular to binocular view was studied with an infrared video retinoscopy and compared with a control group. Results. In Group A, positive fusional amplitudes, NPC, and AC/A ratio of IXT patients did not differ from those of normals. Negative fusional amplitudes were significantly higher in the patient group than in the control group. In Group B, myopic shift was statistically significantly higher in the patient group and there was a statistically significant positive correlation between myopic shift and angle of strabismus. Conclusions. Apart from the role of fusional convergence which accounts for myopia-phoria, that of the other binocular functions in the control at near of IXT and conversely their specific role in the pathogenesis of IXT remain unclear and the cause of divergent infantile strabismus is still unknown.

Effect of Nerve-Sparing Radical Hysterectomy on Bladder Function Recovery and Quality of Life in Patients With Cervical Carcinoma

2010 ◽  
Vol 20 (5) ◽  
pp. 905-909 ◽  
Author(s):  
Jiahan Wu ◽  
Xishi Liu ◽  
Keqin Hua ◽  
Changdong Hu ◽  
Xiaojun Chen ◽  
...  
Keyword(s):  
Cervical Carcinoma ◽  
Radical Hysterectomy ◽  
Bladder Function ◽  
Nerve Sparing ◽  
Invasive Cervical Carcinoma ◽  
Function Recovery ◽  
Group A ◽  
Group B ◽  
Better Than

Objective:To investigate the bladder function recovery and quality of life (QOL) using nerve-sparing radical hysterectomy (NSRH) in treating early invasive cervical carcinoma.Methods:Subjects included patients who underwent radical hysterectomy by laparotomy for early-stage cervical carcinoma. Thirty-one patients were randomly assigned to 2 groups: group A, 15 patients who underwent NSRH; and group B, 16 patients who underwent classical radical hysterectomy. We observed the patients' general clinical information, surgical characteristics, postoperative vital signs, pathological findings, adjuvant therapies, and adverse effects. A urodynamic study was used to assess the bladder function. The patients' QOL was evaluated by Functional Assessment of Cervical Cancer Therapy (FACT-Cx).Results:Twenty-nine patients completed the study. No significant differences were found in age, body mass index, surgery characteristics, pathological findings, adjuvant therapies, and main adverse effects between the 2 groups (P > 0.05). The postoperative time of bladder function recovery in group A was obviously earlier than that in group B (P < 0.05). The urodynamic study showed that the extent of bladder function recovery in group A was better than that in group B (P < 0.05). The QOL in group A evaluated 1 year after operation was improved compared with that in group B (P < 0.05). The QOL analysis showed that group A did much better than group B in social and family life, emotional well-being, working status, and the symptom correlated with the operation (P < 0.05). No significant differences were found in basic bodily functions (P > 0.05).Conclusions:Nerve-sparing radical hysterectomy is a safe and reliable technique for early invasive cervical carcinoma. The postoperative bladder function recovery and the patients' QOL were improved after NSRH compared with the control group. Therefore, NSRH could be an alternative management to modify the classical surgery for cervical carcinoma with International Federation of Gynecology and Obstetrics stages IB1 to IIA.

scholarly journals Capsular Thyroid Injection Therapy Under Ultrasound Guidance for the Treatment of Subacute Thyroiditis

2021 ◽  
Author(s):  
jinlong huo ◽  
Chen Chen ◽  
Dan Gao ◽  
Li Yang ◽  
Shuang Shen ◽  
...  
Keyword(s):  
Pain Relief ◽  
Thyroid Function ◽  
Ultrasound Guidance ◽  
Treatment Time ◽  
Subacute Thyroiditis ◽  
Injection Therapy ◽  
Duration Of Treatment ◽  
Function Recovery ◽  
Group A ◽  
Group B

Abstract PurposeThe present study aimed to evaluate the efficacy and safety of capsular thyroid injection therapy under ultrasound guidance for treating subacute thyroiditis.MethodsSeventy-three patients with subacute thyroiditis were divided into groups A (n=48) and B (n=25). Group A was treated with ultrasound-guided capsular injection consisting of a mixture of dexamethasone (DEX) and lidocaine in the thyroid lesion area, while patients in group B received oral prednisolone (PSL). The duration of pain relief, duration of treatment, time of thyroid function recovery, recurrence rates, hypothyroidism, and side effects between the two groups were compared.ResultsAfter 12 months of follow-up, the duration of pain relief, duration of treatment and thyroid function recovery in group A were significantly shorter than those in group B (P<0.05), except for the recurrence rate and hypothyroidism (P>0.05). Weight gain in patients was significantly higher in group A than in group B at the end of treatment (P<0.001).ConclusionUltrasound-guided local injection of DEX and lidocaine combination can rapidly relieve pain, shorten the duration of treatment, and reduce adverse effects when compared with oral PSL treatment.

scholarly journals Improvement of Binocular Summation in Intermittent Exotropia Following Successful Postoperative Alignment

2020 ◽  
Author(s):  
YUEPING LI ◽  
Juan Ding ◽  
Wei Zhang
Keyword(s):  
Visual Acuity ◽  
Binocular Summation ◽  
Intermittent Exotropia ◽  
Low Contrast ◽  
Central Fusion ◽  
Before And After ◽  
Group A ◽  
Group B ◽  
Relationship Of ◽  
The Relationship

Abstract Purpose: To investigate the improvement of binocular summation (BiS) for the high (100%) contrast and different low contrasts (10%, 5%, 2.5%) and the relationship of BiS with stereopsis and central fusion in patients with intermittent exotropia (IXT) after strabismic surgeries.Design: Prospective studyParticipants: Seventy-six patients with IXT aging 9 to 40 years with poor control at distance before strabismus surgeries. Methods: To analyze preoperative and postoperative BiS records and the proportions of patients with different BiS for the high (100%) contrast and the low contrasts (10%, 5%, 2.5%). The score of visual acuity (log Mar) was recorded when patient recognizing the full line with full refraction correction. BiS was classified into three situations depending on whether binocular visual acuity (BVA) was better, worse or equal to that of the better-seeing eye . The results of distant random dots stereograph(RDS) were grouped into A, unable to recognize; B, moderate, 200”≤RDS≤400” and C, good, RDS<200”.Results: The patients with binocular summation were increased from 9.2% to 40.8% for 100%contrast, from 17.1% to 53.9% for 10% contrast, from 21.1% to 76.1% for 5% contrast, from 21.1% to 72.4% for 2.5% contrast after surgeries, respectively. Tested using 2.5% contrast, (1) more patients presented binocular summation in the groups B and C ; (2) postoperative improvements of BVA in group B(1.5±1.03 lines) and group C (1.57±1.26 lines) differed significantly with that in the group A (0.74±1.00 line); (3)more patients presented binocular summation and the improvement of BVA was 1.43±1.16 lines in the group with central fusion after surgeries.Conclusions: BiS for high contrast and different low contrasts can be improved in IXT after successful surgical treatment. It may be associated with obtaining central fusion, recovering stereopsis at distance and good alignment after the surgeries. BiS for 2.5% contrast was improved significantly and sensitive to the good stereopsis and central fusion. Improvement of BiS, particularly for low contrast, has benefit for the daily activities in the real environment. BiS could be as supplementary assessment of binocular function for the patients with IXT before and after treatment.

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