同视机训练对间歇性外斜视术后眼球回退影响的远期疗效观察

Synoptophore training observed long-term effect in the deterioration of postoperative intermittent exotropia

目的探讨同视机训练对间歇性外斜视术后患者眼球回退的影响。方法对80例间歇性外斜视术后患者,随机分为治疗组和对照组进行观察,治疗组应用同视机进行融合功能训练,观察术后7、30、180、540天的斜视度、融合功能、立体视并比较分析。结果同视机治疗组与对照组在术后540天的比较,治疗组眼位回退率为15．00％,低于对照组的35．00％(P<0．05);融合功能恢复率达87．50％,高于对照组的60．00％(P<0．05); 立体视功能恢复率达80．00％,明显高于对照组的57．50％(P<0．05),有显著性差异。结论应用同视机对间歇性外斜视术后的患者进行融合功能训练能提高融合功能恢复并减少眼球回退的发生。

Objective To evaluate the effect of Synoptophore training for the deterioration of postoperative intermittem exotropia. Methods 80 eases with postoperative intermittent exotropia were randomly divided training group and control group. In the former , they were trained with Synoptophore to enhance their fusion. After training 7,30,180 and 540 day, the deviation angle, the fusion and stereoesthesia were observed and analysed. Results After training 540 day, in the training group the deteriorative ratio had descended;the fusion and stereoesthesia had risen. It is notable different （ P 〈0.05）. Conclusion Synoptophore training can enhance fusion and decreased the deterioration of postoperative intermittent exotropia.