分离性垂直偏斜临床治疗的回顾性分析  

Retrospective analysis of clinical treatment of dissociated vertical deviation

作　　者：游秀芳 张立贵 游秀霞 

机构地区：[1]沪滨眼科医院,中国山东省滨州市256600

出　　处：《国际眼科杂志》2012年第11期2220-2221,共2页International Eye Science

摘　　要：目的:分析分离性垂直偏斜(dissociated vertical deviation,DVD)不同治疗方法的疗效。方法:回顾性分析我院2002-02/2011-08手术和非手术治疗的54例88眼分离性垂直偏斜的治疗效果。结果:非手术组采用转换注视眼方法治疗后,原注视眼视力无明显下降,现注视眼视力不仅提高而且眼位达到外观美容效果,满意率75%;手术组近期治疗满意率为81%。两组统计学处理无差异(P>0.05)。结论:非手术转换注视眼方法可以有效矫正DVD患者的上斜视症状,尤其对于单眼DVD和双眼不对称DVD一侧眼为上斜视、对侧眼为隐性上斜视者效果较好。本方法尤其适用于不愿意接受手术治疗、且合并轻中度弱视和屈光不正的儿童患者。手术要根据患者的视力、斜视度、眼球运动情况及是否合并水平斜视等综合分析考虑,将诸多因素充分考虑于术中,提高一次手术的正位率。AIM：To analyze the effect of differerent treatment method for dissociated vertical deviation（DVD）.METHODS：A randomly controlled study was performed on 54 patients：12 patients in nonsurgical group;42 patients in surgical group.RESULTS：：In the nonsurgical group,visual acuity of the original fixating eye had no significant decline,and that of the fellow eye improved and had cosmetic effect,the satisfaction rate was 75%.In surgical group,the recent treatment satisfaction rate was 81%.CONCLUSION：The nonsurgical method converting fixating eye is an effective way to rectify the hypertropia symptom of DVD patients.

关 键 词：分离性垂直偏斜 手术 非手术 治疗效果 

分 类 号：R779.6[医药卫生—眼科]