眼轴长度对共同性外斜视矫正手术量的影响  

The effect of axial length on the amount of exotropia correction

作　　者：谢仁艺[1] 杨梅[1] 何欢[1] 王海燕[1] 潘美华[1] 

机构地区：[1]厦门大学附属厦门眼科中心斜弱视与小儿眼科,361000

出　　处：《中国斜视与小儿眼科杂志》2016年第2期20-22,共3页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的探讨不同眼轴长度与共同性外斜视手术量的关系。方法对60例适合行单眼外直肌后徙联合内直肌截除的恒定性外斜视患者,术前应用IOL-master和/或B超测量眼轴长度,根据眼轴长度分为正常眼轴组、短眼轴组和长眼轴组;常规按外直肌后徙内直肌截除各1mm矫正4.5△设计手术。结果术后1周或6周3组一退一截各1mm所矫正斜视度有显著差异:短眼轴组>正常眼轴组>长眼轴组(P<0.05)。结论不同眼轴长度对共同性外斜视近远期矫正手术量有影响。Objective To evaluate the relationship between axial length （AL） and the amount of unilateral reces- sion-resection for exotropia. Methods The axial length were measured preoperatively with IOL-master and/or B scan ultra- sonongraphy in 60 patients of exotropia who are indiacated to unilateral recession-resection. The patients were devided into normal AL group, short AL group and long AL group. The surgery was performed according to routine correction of 4.5^△per- milimeter of unilateral recession-resection Results There was statistically significant difference of correction permilimeter of unilateral recession-resection between the three groups after I week or 6 weeks： short AL group〉 normal AL group 〉long AL group（P〈0.05）. Conclutions Different axial length（AL） affects the amount of unilateral recession-resection for exotropia in short-term and long-term follow up.

关 键 词：外斜视 手术 眼轴长度 

分 类 号：R779.6[医药卫生—眼科]