间歇性外斜视的手术治疗106例

Surgical treatment on 106 cases of intermittent exotropia

目的 探讨间歇性外斜视手术成功的因素及术后双眼视功能恢复情况。方法 对 10 6例记录资料完整的间歇性外斜视手术情况及术后 6周到 1年情况进行分析。结果 手术后正位率 1周为 84.91%、6周为 76.42 %、1年为 75 47%。术后双眼视功能恢复与年龄有关 ,年龄越小恢复率越高 ,5～ 8岁组为 10 0 % ,9～ 14岁为 67.3 % ,>14岁组为 17.5 %。结论 间歇性外斜视手术时机越早越好 ,年龄越小双眼视觉恢复越好。术前有无融合功能对术后双眼视功能的恢复至关重要。

Objective To discuss the surgical effect of intermittent exotropia in 106 cases. Methods The postoperative results were analysed. Results After surgery,ocular aligned in 76.42% cases at 6 weeks and 75.47% at 1 year.The recovery of binocular vision was negatively related to patients's age and preoperative visual fusion was also an important factor.Conclusion For the treatment of intermittent exotropia,the earlier of treatment,the better of binocular vision recovery.