压贴三棱镜的临床应用及疗效探讨  

The clinical application and the therapeutic effect of the Fresnel press-on prism

作　　者：李平惠[1] 杨雯[1] 

机构地区：[1]成都四川大学华西医院眼科,610041

出　　处：《中国斜视与小儿眼科杂志》2007年第4期157-159,共3页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的探讨压贴三棱镜的临床应用范围及疗效。方法通过在框架镜片上压贴相应度数膜状三棱镜,来矫正和缓解微小度数斜视和斜视矫正术后过矫欠矫、麻痹性斜视引起的复视,先天性眼球震颤的代偿头位、成人视疲劳等。选取2005年～2006年我院斜弱视门诊中由于各种原因配戴压贴三棱镜的15例患者,观察其应用及疗效。结果病例15例,其中共同性斜视8例,斜视术后欠矫2例(包括合并眼球震颤1例),麻痹性斜视5例(其中外伤所致3例,Grave’s眼病导致斜视1例。)其中满意12例,明显改善2例,1例由于复视不能消除,改为手术治疗。结论压贴三棱镜是一种能有效改善复视、视疲劳症状,在斜视未行矫正术前或过矫欠矫后重建视功能的非手术疗法。Object To investigate the clinical application and the therapeutic effect of the Fresnel press-on prism Methods To correct small angle deviation, over or under correction of strabismus, diplopia by paralytic squint congenital nystagmus, asthenopia by Fresnel press-on prism on glasses. 15 outpatients in our hospital from 2005 to 2006 were studied. Result Fresnel press-on prism could provide an improvement in the correction of the patients＂ symptoms. 12 patients had significant effect, 2 had obvious improvemen4 1 went to operation for aggravation. Conclusion Fresnel press-on prism is a safe and effective way to correct heterotropia listing above, eliminate diplopia and asthenopia and enhance reconstruction of visual function.

关 键 词：压贴三棱镜 斜视 复视 眼震 临床应用 疗效 

分 类 号：R777.41[医药卫生—眼科]