围手术期同视机训练对恒定性外斜视患者术后视功能重建的影响  

Effect of perioperative synoptophore training on postoperative restoration of visual function in patients with constant exotropia

作　　者：李桥[1] Qiao Li(Nanjing Aier Eye Hospital, Nanjing 210006, Jiangsu Province, China)

机构地区：[1]南京爱尔眼科医院,中国江苏省南京市210006

出　　处：《国际眼科杂志》2022年第3期470-473,共4页International Eye Science

摘　　要：目的:分析围手术期同视机闪烁训练对恒定性外斜视患者术后视功能重建的影响。方法:选取2017-01/2021-03于我院眼科接受手术治疗的68例136眼手术成功的恒定性外斜视患者作为本次研究对象,根据是否给予围手术期同视机闪烁训练,将其分为A组(同视机闪烁训练)35例70眼,B组(无同视机闪烁训练)33例66眼。A组患者年龄为13~62(平均29.34±12.72)岁,男19例38眼,女16例32眼;B组患者年龄为17~56(平均30.12±8.75)岁,男13例26眼,女20例40眼。术后1mo对患者进行同视机检查,比较两组患者的同时视功能、融合功能以及立体视功能的恢复情况。结果:两组患者年龄、性别、术前远近斜视度比较均无差异(P>0.05)。术后1mo的同视机检查显示同时视功能、融合功能以及立体视三级功能恢复率,A组分别为54%、54%、43%,B组分别为27%、27%、15%,两组比较均有差异(χ^(2)=5.117、5.117、6.280,均P<0.05)。结论:对无双眼视功能的恒定性外斜视成人和大龄儿童(>12岁)患者进行围手术期同视机闪烁训练可有效改善患者双眼视功能,提升手术的治疗效果。AIM:To investigate the effect of perioperative synoptophore scintillation training on postoperative restoration of binocular visual function in patients with constant exotropia.METHODS:We retrospectively reviewed 68(136 eyes)patients with constant exotropia,who successfully underwent surgical ophthalmological treatment from January 2017 to March 2021.Patients were divided into group A(n=35 cases,70 eyes)and group B(n=33 cases,66 eyes)according to whether or not they received perioperative synoptophore scintillation training.Group A included 19 males(38 eyes)and 16 females(32 eyes)(mean age:29.34±12.72 years).Group B included 13 males(26 eyes)and 20 females(40 eyes)(mean age:30.12±8.75 years).One month postoperatively,the patients were examined with a synoptophore,and the restoration of simultaneous vision,fusion function,and stereoscopic function were compared between the two groups.RESULTS:There were no significant differences in age,sex,and preoperative far and near deviations between the two groups(P>0.05).Postoperatively,the restoration rates of simultaneous vision,fusion function,and stereoacuity were 54%,54%,and 43%in group A,respectively.And 27%,27%,and 15%in group B,respectively.Statistically,there were respectively significant differences between the two groups(χ^(2)=5.117,5.117,6.280;all P<0.05).CONCLUSION:Perioperative synoptophore scintillation training can effectively improve the binocular vision function of adult patients and older children(>12 years)with constant exotropia without binocular vision function and enhance the therapeutic effect of surgery.

关 键 词：围手术期 同视机闪烁训练 恒定性外斜视 成人 大龄儿童 视功能 

分 类 号：R779.6[医药卫生—眼科]