正确认识儿童间歇性外斜视的非手术处理  

Correct understanding of the non-surgical management options in the treatment of intermittent exotropia in children

作　　者：刘虎[1] 竺慧 Liu Hu;Zhu Hui(Department of Ophthalmology,the First Affiliated Hospital with Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院眼科,南京210029

出　　处：《中华眼科杂志》2022年第3期165-168,共4页Chinese Journal of Ophthalmology

摘　　要：间歇性外斜视是临床最常见的斜视类型,手术是其主要的治疗方式。对于年龄较小、检查欠配合、外斜视控制良好或不愿手术的患者,可以采用随访观察或其他非手术治疗。然而,由于对间歇性外斜视的自然病程、手术时机以及不同非手术治疗方法的适用对象、有效性和可能风险缺乏深入理解,针对儿童间歇性外斜视的处理,尤其非手术治疗还存在诸多误区。本文基于国外研究结果和临床实践,对间歇性外斜视的非手术处理作一客观评价,以期同道正确认识并合理应用。Intermittent exotropia is the commonest type of strabismus,and surgery is the primary treatment.Follow-ups and other non-surgical management options can be used for patients who are younger,less cooperative,with well controlled exotropia,or unwilling to operate.However,there are many misconceptions regarding the treatment,especially the non-surgical treatment of intermittent exotropia in children,due to lack of thorough understanding about the natural course of intermittent exotropia,the timing for surgery,and the suitable candidates,effectiveness,and potential risks of different non-surgical options.This article provide an objective evaluation about the common non-surgical management options of intermittent exotropia based on the international research findings and clinical experience,in order to facilitate the correct understanding and rational use of the non-surgical treatment.

关 键 词：外斜视 治疗 随访观察 间歇性外斜视 非手术 

分 类 号：R779.6[医药卫生—眼科]