部分调节性内斜视的临床特征及手术治疗  

Clinical characteristics and surgical treatment of partial accommodative esotropia

作　　者：薛莉娜 

机构地区：[1]兰考县中医院眼科,河南475300

出　　处：《中华眼外伤职业眼病杂志》2016年第11期866-868,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的：探讨儿童部分调节性内斜视的临床特征及手术治疗。方法对35例部分调节性内斜视戴全矫眼镜半年后，手术治疗残余斜视，手术量按戴镜后残余斜视度加戴镜前后斜视度差值的1/3设计手术量，伴有斜肌功能亢者行斜肌手术，所有手术量均一次完成。结果35例中，术后正位眼32例，正位率91.43%；欠矫3例占8.57%，无过矫者。结论儿童部分调节性内斜视当手术条件符合后应尽早手术，术后根据眼位调整眼镜度数。Objective To investigate the clinical characteristics and surgical treatment of partial accommodative esotropia of children. Methods Thirty-five cases of partial accommodative esotropia in children wore glasses with full correction for 6 months were enrolled in the study. The residual strabismus was treated by surgery, The surgical volume was calculated by residual strabismus degree after wore glasses plus 1/3 of strabismus degree differences between before and after wore glasses. The oblique surgery was performed on patients with oblique muscle hyperactivity . All operations were completed at one time. Results Of 35 cases, 32 cases got right position of eyes postoperationly. The right position rate was 91. 43%. Three cases were undercorrected,accounting for 8. 57%, and there was no over correction. Conclusion The partial accommodative esotropia of the children should be operated in early stage , and the degree of glasses is adjusted according to the position of the eye.

关 键 词：内斜视 部分调节性 手术治疗 

分 类 号：R779.6[医药卫生—眼科]