从内斜视到外斜视的变化  

The change rules from esotropia to exotropia

作　　者：孙恒[1] 胡竹林[2] 胡敏[2] 杜红[1] 李宪武[1] 张远平[1] 郭立云[2] 

机构地区：[1]昆明医学院第二附属医院眼科,650000 [2]云南省第二人民医院眼科

出　　处：《中国斜视与小儿眼科杂志》2017年第2期28-29,共2页Chinese Journal of Strabismus & Pediatric Ophthalmology

基　　金：云南省卫生厅科技计划项目(项目编号:2014NS043)

摘　　要：目的观察调节性内斜视到间歇性外斜视的变化规律。方法收集以内斜为主诉的间歇性外斜视合并调节性内斜视患者5名,回顾其平均10年的长期病历资料,对其屈光及斜视度变化等进行总结。结果所有患者为中度到重度以上远视;内斜均为调节性内斜视,但不用足矫也能达到正位,斜视度不稳定。远视程度逐年下降至轻度远视时,间歇性外斜视表现明显,有增大趋势,1年左右稳定。结论不需要足矫的调节性内斜视患者,且斜视度数不稳定者,合并间歇性外斜视的可能性大;该类患者的外斜视不宜过早手术,否则容易欠矫。Objective To study the change rules from accommodative esotropia to intermittent exotropia through long-term observation.Methods To study the refraction, degrees of deviation.By reviewing the 10-year medical histories of 5 patients with accommodative esotropia associated with intermittent exotropia who complained the esotropia initially.Results All the patients were moderate to high hyperopia and accommodative esotropia who can be orthophoria with under-corrected hyperopia spectacles; their deviation degrees were unsteady,their intermittent exotropia become evident with the decrease of the hyperopia changing to mild degree and the exotropia degrees increased until about 1 year.Conclusions When the esotropia patients don＇t need the complete correction to maintain the orthophoria and have the unsteady eye position, there is a good chance that they are combined with intermittent exotropia; early operations for correcting the exotropia should be avoided, if not, they may be under-corrected.

关 键 词：间歇性外斜视 调节性内斜视 

分 类 号：R777.41[医药卫生—眼科]