关注间歇性外斜视手术存在的问题及对策  

Paying attention to problems and countermeasures in intermittent exotropia surgery

作　　者：刘虎[1] 李天玺 Liu Hu;Li Tianxi(Department of Ophthalmology,the First Affiliated Hospital of 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》2025年第1期12-17,共6页Chinese Journal of Ophthalmology

基　　金：国家自然科学基金(82273159)。

摘　　要：间歇性外斜视(IXT)是最常见的斜视类型,手术是其主要的治疗方法。近年随着斜视与小儿眼科领域快速发展,国内多家医疗机构已常规开展IXT手术,但是手术成功率不高,且随着术后时间延长逐渐下降。本文针对临床IXT手术治疗中存在的误区和问题,从准确把握IXT手术的时机、关注IXT手术前的评估、规范IXT手术的设计3个方面进行阐述,以期为临床工作提供指导意见,提高IXT手术的成功率。Intermittent exotropia(IXT)is the most common type of strabismus,with surgical interventions standing as its main therapeutic modality.In recent years,with the rapid development of the strabismus and pediatric ophthalmology subspecialties,surgical correction for IXT has become a routine practice across numerous institutions in China.However,the surgical success rate is not high and tends to decline with longer follow-up periods.In this article,we highlight key misconceptions and challenges in the surgical management of IXT,with focuses on optimizing the timing of surgical interventions,enhancing the preoperative evaluation,and advancing the standardization of surgical planning,aiming to provide evidence-based recommendations for clinical strategies and improve surgical outcomes of IXT.

关 键 词：外斜视 眼外科手术 临床方案 

分 类 号：R779.6[医药卫生—眼科]