改良内斜视矫正术治疗部分调节性内斜视  

Clinical study of esotropia surgery with retained regulation factors on partial accommodative esotropia case

作　　者：赵永旺[1] 黄海涛[1] 牛海雁[1] 邝丽频[1] 

机构地区：[1]湖南永州职业技术学院附属医院眼科,425006

出　　处：《中国斜视与小儿眼科杂志》2012年第1期I0006-I0007,25,共3页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的探讨部分调节性内斜视手术的临床效果。方法对52例部分调节性内斜视以[(裸眼视近-裸眼视远)+(戴镜视近-戴镜视远)]×1/2之所得三棱镜度设计行内斜矫正术,术后平均观察2年。结果术后2年,斜视治愈率高达94.23%;术后矫正视力较术前均有不同程度提高,差异有统计学意义,P<0.05;双眼单视功能较术前均有明显改善,差异有显著性,P<0.05。结论以1/2×[(裸眼视近-裸眼视远)+(戴镜视近-戴镜视远)]的斜视角来设计手术,对矫正部分调节性内斜视效果较好,但要注意早诊断早治疗。Objective To evaluate the clinical results of esotropia surgery with retained regulation factors on partial accommodative esotropia. Methods ＂（Angle of uncorrected near fix - Angle of uncorrected far fix）＋（Angle of wearing glasses near fix-Angle of wearing glasses far fix）＂, half of the sum of the oblique prism correction amount of power calculation, to carry out surgery for the 52 partial accommodative esotropia children. Conventional wearing glasses after surgery. The follow-up observation were 2 years after surgery. Results After 2 years, compared with the preoperative, correction vision were improved, the difference was statistically significant. Eye position： the cure rate of eye position was as high as 94.23%. Binocular vision： binocular vision were significantly improved com- pared with the preoperative. The effect was significant. Conclusions ＂The calculation of the amount of skew correc- tion on the part of accommodative esotropia children has good effect, while emphasizing early diagnosis and timely intervention.

关 键 词：部分调节 内斜视 手术 

分 类 号：R779.6[医药卫生—眼科]