| Autor: |
Takeshi Morimoto, Sadao Suzuki, Osamu Hieda, Noriyuki Azuma, Sachiko Nishina, Noriko Nishikawa, Miho Sato, Yukiko Shimizu, Hirohito Iimori, Reiko Kinouchi, Tomoyo Yoshida, Akiko Hikoya, Miwa Komori, Toshiaki Goseki, Takafumi Mori, Takashi Negishi, Tamami Shimizu, Shion Hayashi, Yoshiko Sugiyama, Yoshimi Yokoyama, Akiko Kimura, Hiroko Suzuki |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
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| Zdroj: |
BMJ Open Ophthalmology, Vol 9, Iss 1 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2397-3269 |
| DOI: |
10.1136/bmjophth-2024-001713 |
| Popis: |
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. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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