调节性内斜视的治疗

Clinic study on the treatment of accommodative esotropia

目的探讨调节性内斜视的综合治疗方法。方法总结分析87例调节性内斜视的治疗情况,所有病例经1%阿托品扩瞳验光后戴镜矫正,弱视眼进行综合训练。戴镜半年后对眼位戴镜不能矫正且双眼视力基本平衡的患儿通过手术干预矫正眼位。结果经戴镜眼位恢复正位69例(79.31%)。戴镜并同时进行弱视训练半年后18例斜视角无法全部矫正的患儿采用手术方法矫正眼位。术后进行双眼单视训练。所有病例恢复正常眼位及双眼单视功能。结论调节性内斜视的治疗是一个综合性的治疗过程,双眼视力基本平衡时可手术干预残余斜视角。强调双眼单视功能的检查和训练。

Objective To investigate a comprehensive treatment for accommodative esotropia. Methods Eighty-seven patients with accommodative esotropia were analyzed. The pupils were all dilated with 1% atropine,and the amblyopia eyes were all comprehensively trained. If the position of the esotropic eyes could not be corrected by spectacles and both eyes had similar visual acuity, surgical intervention was taken to correct the position. Results Sixty-nine cases （79.31%） had corrected eye postion through correction. Eighteen cases who couldn＇t be corrected by cum correction and comprehensive training got surgical intervention and had binocular single vision training after operation. All cases got normal eye positions and binocular single vision. Conclusions The treatment for accommodative esotropia is a comprehen- sive course. Operation could be performed to prevent residual angles in cases who have balanced binocular vision. Attention should be paid on the examination and training of binocular single vision.