Abstract
At present, the main treatment for strabismus is still surgical treatment, but there is no unified standard for the evaluation of the timing of surgery. This study mainly explores the clinical effects of using meta-analysis of intelligent image sensors combined with visual training to treat children with intermittent exotropia. Cochrane systematic reviews collect, evaluate, and synthesize an increasing number of original clinical research results to obtain the comprehensive effect of relevant interventions, so as to provide real and reliable evidence for health decision-making and clinical practice. It uses scientific, clear, and reproducible research methods to reduce the influence of biased factors, so it is different from traditional reviews. Cochrane systematic reviews are especially suitable for certain interventions when the pros and cons of interventions are difficult to determine based on the results of a single clinical study or when there are large differences in the clinical application process. Poor quality systematic reviews can mislead policymakers and clinicians. In the meta-analysis, the Cochrane systematic evaluation method of evidence-based medicine was used to comprehensively search the published literature research on the treatment of intermittent exotropia with vision training. Using the Cochrane system evaluation method, computer search of CENTRAL, MEDLINE, Embase, Chinese Biomedical Literature Database, Chinese Journal Full-text Database, manual retrieval of relevant conference documents, and inclusion of all clinical trial documents of visual training in children with intermittent exotropia was conducted. Patients with intermittent exotropia were selected, simultaneous vision, fusion function, and far stereo vision with the same vision machine were measured, and near stereo vision with a stereo vision chart was measured. The number of simultaneous vision, fusion function, and distance and near stereo vision “with” and “without” cases were recorded for all patients, and the relationship with age of onset, type of strabismus, degree of strabismus, and degree of control was counted. Among them, 91 patients who underwent strabismus correction surgery were followed up for at least 6 months with correct eye position. The presence or absence of simultaneous vision, fusion function, far stereo vision, and near stereo vision were recorded and compared with preoperative. The number of recovery and nonrecovery cases was recorded, and the relationship between the age of operation, the type of strabismus, the degree of strabismus, and the degree of control was counted. It was statistically analyzed by SPSS22.0. The results of the meta-analysis showed that in terms of the effective rate of fundus lesions, the visual training group was better than the nontraining group, and the difference between the two groups was statistically significant (RR = 1.32, 95% CI: (1.25, 1.40), P < 0.0001). This study provides guidance for the early rehabilitation of children with intermittent exotropia.
Highlights
Due to the rapid development of children’s visual function, most scholars believe that early intervention in the treatment of eye position will achieve a more ideal correction effect, especially for the far stereo effect before surgery. is will help restore the visual function of the binocular and achieve a more ideal result, so the treatment of strabismus is imminent
When the preoperative exotropia angle is greater than 20 pd, successful motion correction cannot guarantee the recovery of inhibition. e preoperative factors and functional effects he discovered are still unclear and are worthy of further study [5]. e stability of the child’s eye position is not controlled. e presurgery examination requires a combination of strabismus and visual function. is is a guideline for surgery, and a basis for predicting long-term changes in eye position after surgery and for training and recovery of postoperative functions
In order to strengthen the screening of school-age children and preschool children and avoid irreversible visual disturbances, it is necessary to find and treat them as soon as possible. is study collected clinical data of children with intermittent exotropia in hospital and analyzed the age of onset, type, degree of strabismus, degree of control, and the relationship between the development of simultaneous vision, fusion function, and near and far stereo vision
Summary
Due to the rapid development of children’s visual function, most scholars believe that early intervention in the treatment of eye position will achieve a more ideal correction effect, especially for the far stereo effect before surgery. is will help restore the visual function of the binocular and achieve a more ideal result, so the treatment of strabismus is imminent.e image sensor plays a key role in visual restoration. is study shows that in addition to reasonable surgical treatment, the maintenance of the third-level visual function of the binocular plays a key role. e detailed inspection of the three-level visual function before the operation and postoperative training can predict the long-term surgical effect. Is study shows that in addition to reasonable surgical treatment, the maintenance of the third-level visual function of the binocular plays a key role. E detailed inspection of the three-level visual function before the operation and postoperative training can predict the long-term surgical effect. Nweke HF believes that the human activity recognition system was developed as part of a framework that can continuously monitor human behavior in the fields of environmental assisted living His focus is an in-depth summary of deep learning methods. The review proposed classification and evaluation procedures, and discussed public data sets for the recognition of human activity by mobile sensors. He outlined and explained some of the challenges of improvement [2]. We must choose a reasonable and effective surgical method, and guide the functional rehabilitation training through a binocular function examination after the operation
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