先天性内斜视早期干预的时机与挑战  

The timing and challenges of early intervention for infantile esotropia

作　　者：李莉[1] 蒋晶晶[1] Li Li;Jiang Jingjing(Department of Ophthalmology,Beijing Children′s Hospital,Capital Medical University,National Center for Children′s Health,Beijing 100045,China)

机构地区：[1]国家儿童医学中心、首都医科大学附属北京儿童医院眼科,北京100045

出　　处：《中华眼科杂志》2024年第4期312-315,共4页Chinese Journal of Ophthalmology

摘　　要：先天性内斜视是儿童常见的眼科疾病。临床和动物研究越来越多的证据表明, 在早期关键时期进行干预可以促进双眼视觉的建立, 但具体的早期干预时机目前尚无定论。此外, 儿童的术前评估存在极大不稳定性, 即使患者手术后达成正位, 也可能终身伴随双眼视觉功能和眼球运动的严重缺陷。本文针对先天性内斜视早期干预的难点和治疗中需要关注的重点进行剖析, 以期为我国先天性内斜视儿童早期干预治疗提供科学思路和参考。Infantile esotropia is a common ophthalmic disease in children.A lot of clinical and basic research evidence suggests that early surgery enhances sensory and ocular motor development.However,the proper timing of surgery has been debated for decades.In addition,there is more likely instability of deviation in the preoperative evaluation of infants,and even if the patient achieved alignment after surgery,the defects in binocular vision may accompany for a lifetime.This article analyzes the difficulties and key points of early intervention for infantile esotropia,aiming to provide scientific ideas for the early treatment of children with infantile esotropia in China.

关 键 词：内斜视 早期医疗干预 视觉 双眼 二级预防 

分 类 号：R777.41[医药卫生—眼科]