屈光性调节性内斜视的眼位回退因素分析  

The deterioration of refractive accommodative esotropia

作　　者：颜建华[1] 杨少梅[1] 王亦敏[1] 

机构地区：[1]广东省佛山市第二人民医院中美合作眼科中心,中山医科大学中山眼科中心

出　　处：《中华眼科杂志》1995年第5期352-355,共4页Chinese Journal of Ophthalmology

摘　　要：为了探讨屈光性调节性内斜视限位回退（ｄｅｔｅｒｉｏｒａｔｉｏｎ）的因素，我们对１３７例随访５年以上的屈光性调节性内斜视进行分析。随访期间，２３例戴完全矫正眼镜者不能再控制内斜，出现了调节性内斜视的眼位回退，眼位回退发生率为１６．８％。结果表明：抗调节治疗晚和双眼单视功能不良者易发生限位回退，斜视发生年龄、屈光状态和双眼视力参差大小与眼位回退发生无关。及早发现并配戴屈光矫正眼镜和维持正常的双限单视功能是防止眼位回退发生的关键。patients with refractive accommodative esotropia who were followed for at least 5 years were investigated. The results showed that in 23 of the 137 patients(16.8%)occurred the deteri-oration of esotropia that means esotropia can no longer be controlled by wearing a pair of complete cor-rective spectacles.The deterioration develops most likely in patients with delay of anti-accommodative therapy or with malfunction of binocular vision. The age of onset,refractive status and the visual acuity difference between bilateral eyes are not etiologic factors in the process of deterioration,We consider that early diagnosis of accommodative esotropia,timely prescription of optical correction and maintenance of normal binocular vision play important roles in preventing the deterioration.

关 键 词：斜视 屈光 眼位回退 

分 类 号：R777.410.2[医药卫生—眼科]