Factors affecting outcome of acquired comitant esotropia with restricted use of digital devices: ACEDD Study 3.

Autor:	Nishikawa N; Department of Ophthalmology, Asahikawa Medical University, Asahikawa, Japan., Iimori H; Department of Ophthalmology, Hamamatsu University School of Medicine, Hamamatsu, Japan.; Department of Ophthalmology, Ehime University, Toon, Japan., Kinouchi R; Department of Ophthalmology, Asahikawa Medical University, Asahikawa, Japan., Nishina S; Division of Ophthalmology, National Center for Child Health and Development, Tokyo, Japan., Yoshida T; Division of Ophthalmology, National Center for Child Health and Development, Tokyo, Japan., Hikoya A; Department of Ophthalmology, Hamamatsu University School of Medicine, Hamamatsu, Japan., Komori M; Department of Ophthalmology, Hamamatsu University School of Medicine, Hamamatsu, Japan., Hieda O; Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Japan., Goseki T; Department of Ophthalmology, International University of Health and Welfare Atami Hospital, Atami, Japan.; Department of Ophthalmology, Kanagawa Dental University Yokohama Clinic, Yokohama, Japan., Mori T; Department of Ophthalmology, Fukushima Medical University, Fukushima, Japan., Morimoto T; Department of Ophthalmology, Osaka University Graduate School of Medicine, Suita, Japan., Negishi T; Department of ophthalmology, Juntendo University Faculty of Medicine, Tokyo, Japan., Shimizu T; Department of Ophthalmology, Hamamatsu University School of Medicine, Hamamatsu, Japan.; Department of Ophthalmology, Saga University, Saga, Japan., Shimizu Y; Department of Ophthalmology, Saneikai Tsukazaki Hospital, Himeji, Japan., Hayashi S; Division of Ophthalmology, National Center for Child Health and Development, Tokyo, Japan.; Department of Ophthalmology, Yamagata University Faculty of Medicine, Yamagata, Japan., Sugiyama Y; Department of Ophthalmology, Kanazawa University, Kanazawa, Japan., Yokoyama Y; Ophthalmology, Japan Community Healthcare Organisation Chukyo Hospital, Nagoya, Japan., Kimura A; Department of Ophthalmology, Hyogo Medical University, Nishinomiya, Japan., Suzuki H; Department of Ophthalmology, Hamamatsu University School of Medicine, Hamamatsu, Japan.; Suzuki Eye Clinic, Iwata city, Shizuoka, Japan., Suzuki S; Department of Public Hearlth, Nagoya City University Graduate School of Medical Sciences and Medical School, Nagoya, Japan., Azuma N; Division of Ophthalmology, National Center for Child Health and Development, Tokyo, Japan.; Medical Research Institute, Tokyo Medical and Dental University, Tokyo, Japan., Sato M; Department of Ophthalmology, Hamamatsu University School of Medicine, Hamamatsu, Japan mihosato@hama-med.ac.jp.
Jazyk:	angličtina
Zdroj:	BMJ open ophthalmology [BMJ Open Ophthalmol] 2024 Oct 31; Vol. 9 (1). Date of Electronic Publication: 2024 Oct 31.
DOI:	10.1136/bmjophth-2024-001713
Abstrakt:	Objective: The objective of this study is to investigate factors associated with outcomes after 3 months of instructed usage of hand-held digital devices (DD) in patients with acquired comitant esotropia (ACE). Methods and Analysis: This prospective multicentre observational study included patients with ACE, aged 5-35 years, who used DD within 1 year of onset and were followed up for clinical findings and instructed use of DD. The outcomes were classified into four groups: cured, improved, unchanged and worsened. After the analysis of group differences in the clinical and DD use-related factors by univariate analysis, we used ordinal logistic regression models to identify factors associated with favourable outcomes. Results: Of 156 patients (mean age (SD): 16.4 (7.4) years), 10 (6%), 58 (37%), 67 (43%) and 21 (14%) were classified into the cured, improved, unchanged, and worsened, respectively. In the univariate analysis, consultation within 3 months of onset, small-angle strabismus at distance and good stereoacuity were associated with good outcomes. Ordinal logistic regression analysis on adjusting for age with stereoacuity or successful DD-use time halving showed that small-angle strabismus at distance (OR: 1.02, 95% CI 1.00 to 1.03, p=0.023), good stereoacuity (OR: 1.31; 95% CI 1.10 to 1.56; p=0.003) and successful halving of DD-use time (OR: 0.63; 95% CI 0.43 to 0.92; p=0.016) influenced favourable outcomes. Conclusion: Patients with small-angle esotropia, good stereoacuity on consultation and success in halving DD-use time had a higher chance of recovery through instructional DD usage. Further studies using objectively measurable systems are needed to ensure the accuracy of DD-use time. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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