部分调节性内斜视的临床分析64例

目的:探讨儿童部分调节性内斜视的手术治疗。方法:观察儿童部分调节性内斜视术前视力、眼位、双眼三级视功能、手术时机、手术量,术后眼位及术后双眼三级视功能情况。结果:术后正位54例,正位率84·38%,术后获得立体视46例(71·88%)。发病越早,术前病程越长,术后越难建立立体视。结论:当部分调节性内斜视患儿戴全矫镜半年眼位仍不能正位时,应尽早手术,手术量根据戴镜与裸眼视近的平均斜视度决定。

Objective ： To explore timing of operation and surgical extent of pediatric partially accommodative esotropia. Methods ： observe the eye position and the three stage of binocular visual function preoperatively and postoperatively, and the surgical volume in the operation of 64case who had partieal accommodative esotropia. Results ： Among 64case,54ease were orthophoria, orthotopic rate 84.37%, and 46case gained stereopsis postoperatively, accounting for 71.88%. The earlier the disease began and the longer the pathogenesis was, the worse the prognosis for formation of stereopsis postoperatively would be. Conclusions： As pediatric partical accommodative esotropia＇s eye position can not be corrected with full correction lens wear in six months, the operation must be taken into consideration as soon as possible. The surgical extent should be detemined according to the average angle of strabismus when looking near with and without correction.