麻痹性斜视引起复视的棱镜矫正效果分析  

An analysis of the use of a prism to correct diplopia in paralytic strabismus patients

作　　者：陈林兴[1] 林智[1] 陈翔[1] 

机构地区：[1]中山大学附属中山眼科中心,广东广州510060

出　　处：《眼视光学杂志》2007年第1期54-56,共3页Chinese Journal of Optometry & Ophthalmology

基　　金：广东省医学科学技术研究基金项目(3030901008027)

摘　　要：目的对麻痹性斜视引起的复视进行棱镜光学矫正,探讨棱镜矫治复视的适应证和治疗效果。方法回顾分析近2年我院对24例麻痹性斜视所引起复视病例进行棱镜矫正处理的过程及治疗效果。结果24例患者中21例能接受棱镜矫正,在配戴棱镜后恢复稳定双眼视觉功能,消除复视的症状;17例患者配戴棱镜一年后出现“棱镜适应”反应。结论科学运用棱镜矫正部分麻痹性斜视引起的复视是一种有效的方法,但同时要注意“棱镜适应”现象的影响。Objective To investigate the results of prescribing a prism for paralytic strabismus caused by diplopia in patients, to dissuss the effectiveness of prism therapy and the prism adaptation phenomenon. Methods Diplopia patient records （24 cases） were retrospectively reviewed from the past two years in the Zhongshan Ophthalmic Center. The causes of diplopia, the treatment process, the criteria used for prescribing a prism and the effectiveness of prism therapy were analyzed. Results Twenty-one of 24 patients acoepted the prism lens correction. Among these 21 patients, 17 patients exhibited the prism adaptation phenomenon. Conclusion Prism therapy for patients is an effective approach for eliminating same diplopia caused by paralytic strabismus. However, the prism adaptation phenomenon needs to be given special attention.

关 键 词：麻痹性斜视 复视 棱镜适应 

分 类 号：R777.41[医药卫生—眼科]