手术治疗先天性内斜视临床探讨  

Clinical study of surgical treatment for congenital esotropia

作　　者：雷玉[1] 于丹[1] 张弛[1] 

机构地区：[1]广东省佛山市第一人民医院眼科,528000

出　　处：《中国斜视与小儿眼科杂志》2013年第4期18-19,共2页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的：探讨先天性内斜视的临床特点、手术时机、手术方法及疗效。方法回顾分析43例施行手术的先天性内斜视病例的治疗结果。结果正位36例，正位率83.72%，欠矫5例，占11.63%，过矫2例，占4.65%，随访2~4年，部分病例经过二次手术，术后进行弱视治疗及双眼单视功能训练，最终获得正位率41例，占93.02%，弱视治愈率92.11%，23.26%病人恢复双眼单视功能。结论先天性内斜视的患者应早期手术治疗，术后弱视治疗及双眼单视功能训练，对远期眼位正位，弱视的治愈及双眼单视功能的重建非常重要。To study the clinical features of congenital esotropia, operation timing, methods of surgery, and curative effect. Methods Retrospective analysis the outcomes of 43 cases after congenital esotropia treat-ment. Results After the first operations, 36 cases （83.72%） were orthotopic, 5 cases （11.63%） were undercorrected, 2cases （4.64%） were overcorrected respectively. All the patients underwent the follow-up visit for 2 to 5 years. Par-tial patients got the second time surgeries and 41 cases （ 93.02%） gained orthotopia with training of amblyopia and synoptophore. The amblyopia cure rate reached to 92.11% and 23.26% patients regained the binocular vision. Con-clusions Congenital esotropia should be treated with surgery earlerly, postoperative amblyopia and binocular vision training is the key way to cure amblyopia and rebuilt binocular vision .

关 键 词：先天性 内斜视 手术 双眼单视功能 

分 类 号：R779.6[医药卫生—眼科]