Comparison of near stereopsis restoration rates and influencing factors between pediatric and adult patients after surgery for concomitant exotropia

GAO Lixia; HUO Shujia; QIAN Yuchen; ZHANG Li

doi:10.16016/j.2097-0927.202509064

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Comparison of near stereopsis restoration rates and influencing factors between pediatric and adult patients after surgery for concomitant exotropia

Clinical Medicine | 更新时间：2026-02-23

- Comparison of near stereopsis restoration rates and influencing factors between pediatric and adult patients after surgery for concomitant exotropia
- Journal of Army Medical University Vol. 48, Issue 3, Pages: 345-353(2026)
- 作者机构：
  
  1.重庆医科大学附属第二医院眼科，重庆
  2.陆军军医大学（第三军医大学）第一附属医院眼科，重庆
- 作者简介：
  
  ZHANG Li，E-mail： 1371206849@qq.com
- 基金信息：
  
  the General Program of Natural Science Foundation of Chongqing(CSTB2023NSCQ-MSX0203)
- DOI：10.16016/j.2097-0927.202509064
  CLC： R181.23;R770.425;R777.41
- Received：18 September 2025，
  
  Revised：2026-01-16，
  
  Accepted：16 January 2026，
  
  Published：15 February 2026
- 稿件说明：
移动端阅览
高利霞，霍姝佳，钱雨辰，等.儿童青少年与成人共同性外斜视术后近立体视功能重建率比较及其影响因素差异［J］.陆军军医大学学报，2026，48（03）：345-353.DOI：10.16016/j.2097-0927.202509064.

GAO L X，HUO S J，QIAN Y C，et al.Comparison of near stereopsis restoration rates and influencing factors between pediatric and adult patients after surgery for concomitant exotropia［J］.J Army Med Univ，2026，48（03）：345-353.DOI：10.16016/j.2097-0927.202509064.
高利霞，霍姝佳，钱雨辰，等.儿童青少年与成人共同性外斜视术后近立体视功能重建率比较及其影响因素差异［J］.陆军军医大学学报，2026，48（03）：345-353.DOI：10.16016/j.2097-0927.202509064. DOI：

GAO L X，HUO S J，QIAN Y C，et al.Comparison of near stereopsis restoration rates and influencing factors between pediatric and adult patients after surgery for concomitant exotropia［J］.J Army Med Univ，2026，48（03）：345-353.DOI：10.16016/j.2097-0927.202509064. DOI：

摘要

目的

调查共同性外斜视术后近立体视功能重建情况，并分析患者近立体视功能重建的影响因素。

方法

采用回顾性病例系列研究，选择2022年2月至2025年6月重庆医科大学附属第二医院眼科收治并接受斜视矫正术的共同性外斜视患者，共246例，其中儿童青少年组（6~<18岁）147例，成人组（≥18岁）99例，收集患者术前和术后临床资料，分析其术后近立体视功能重建情况及影响因素。

结果

纳入儿童青少年共同性外斜视患者147例，术前近立体视功能存在率为83.0%，术后近立体视功能存在率为95.9%，近立体视功能治愈率为60.5%，好转率为19.7%，无效率为19.7%；成人共同性外斜视患者99例，术前近立体视功能存在率为43.4%，术后近立体视功能存在率为85.9%，近立体视功能治愈率为27.3%，好转率为43.4%，无效率为29.3%；2组患者术后近立体视功能均较术前显著改善（

0.001），儿童青少年组术后近立体视功能重建率显著高于成人组（80.3%

70.7%，

２

=27.543，

0.001）。术后近立体视功能重建的单因素分析：儿童青少年组手术年龄、外斜视类型、术前近立体视功能、术前视近及视远斜视度、手术方式、随访时间均具有统计学意义（

0.05），成人组仅外斜视类型、术前近立体视功能有统计学意义（

0.05）；多因素Logistic回归分析显示，术前近立体视功能、外斜视类型是各年龄段共同性外斜视患者术后近立体视功能重建的影响因素（

0.05），除此之外，儿童青少年患者近立体视功能重建的影响因素还包括手术年龄、手术方式、随访时间（

0.05），而成人患者则是发病年龄（

0.05）。

结论

儿童青少年共同性外斜视术后近立体视功能重建明显高于成人，儿童青少年共同性外斜视术后近立体视功能重建受手术年龄、手术方式、随访时间、外斜视类型及术前近立体视功能的影响，成人则受发病年龄、外斜视类型及术前近立体视功能的影响。成人与儿童青少年共同性外斜视术后近立体视功能重建的影响因素有显著差异，临床上需重点关注。

Abstract

Objective

To investigate the restoration of near stereopsis following corrective surgery for concomitant exotropia and analyze its influencing factors.

Methods

This retrospective case series included 246 patients with concomitant exotropia who underwent strabismus surgery between February 2022 and June 2025. The patients were stratified into a pediatric group (6~

18 years

=147) and an adult group (≥18 years

=99). Preoperative and postoperative clinical data were analyzed to assess near stereopsis restoration and its predictors.

Results

A total of 147 pediatric patients with concomitant exotropia were included. The preoperative presence rate of near stereopsis was 83.0%

increasing to 95.9% postoperatively. Postoperative outcomes for near stereoscopic function were cure (60.5%)

improvement (19.7%)

and no improvement (19.7%). Ninety-nine adult patients with concomitant exotropia were also included. The preoperative presence rate of near stereopsis was 43.4%

increasing to 85.9% postoperatively; Postoperative outcomes were cure (27.3%)

improvement (43.4%)

and no improvement (29.3%). Near stereoscopic function significantly improved postoperatively in both groups (

0.001). The postoperative restoration rate was significantly higher in pediatric patients than in adults (80.3%

70.7%

² = 27.543

0.001). Univariate analysis showed that in the pediatric group

age at surgery

type of exotropia

preoperative near stereopsis

preoperative near and distance deviation

surgical approach

and follow-up time were significant predictors (

0.05). In adults

only the type of exotropia and preoperative near stereopsis were significantly associated with stereopsis restoration (

0.05). Multivariate logistic regression analysis revealed that preo

perative near stereopsis and exotropia type were independent predictors of stereopsis restoration in both groups (

0.05). Additionally

in pediatric patients

age at surgery

surgical approach

and follow-up time were significant factors

while in adults

age at onset was significant (

0.05).

Conclusion

Near stereopsis restoration is superior in pediatric patients versus adults. Key determinants differ: pediatric outcomes are influenced by surgical age

approach

follow-up

exotropia type

and preoperative stereopsis; adult outcomes by age at onset

exotropia type

and preoperative stereopsis. These differences should be taken into account in clinical practice.

关键词

Keywords

references

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