我国斜视显微手术的探索

Exploration of using microscope in strabismus surgery in China

随着手术显微镜引进眼科手术，开启了眼科显微手术时代，开创了现代白内障手术和玻璃体手术新纪元。当眼科显微手术时代走过了半个世纪后，国际上还是倡导戴2—3倍放大镜做斜视手术。显微手术仅仅是内眼手术的专利吗？我国斜视显微手术的最早报告见于20世纪90年代初，探索在显微镜下实施直肌睫状血管分离术，其后未见跟进。本世纪以来，一些日常做内眼显微手术的专家和一些显微手术训练基础好的青年骨干坚持探索斜视显微手术。在这个过程中，中华医学会斜视与小儿眼科学组积极引导探索其健康发展，努力发掘显微手术在斜视矫正术中的积极意义，并探索提高手术质量。2011年6月在济南召开的第14届全国斜视与小儿眼科学术会议对这一问题又进行了热烈交流和讨论。本文结合发展现状，总结了斜视显微手术的目的和意义，提出了健康发展斜视显微手术的措施与建议。

The opening of time of microsurgery by introduction of operation microscope into ophthalmic surgery rendered the coming of a new era of modern cataract surgery and vitreous surgery. However, after this time goes through half a century, telescopic loupes are still been advocated by most surgeons internationally. Is microsurgery a patent only for use in intraocular operations？ Although an earliest exploration of using microscope in strabismus surgery in China was reported in the 90 s that discussed the technique of rectus ciliary vessel separation under microscope, no more followed after that. Since this century, some experts often as intraocular surgeons and some young doctors with background of microscopic training continued persistence in the exploration of microscopic strabismus surgery. During this process, the council of strabismus and pediatric ophthalmology of COS has been engaged in guiding its healthy development, unearthing its value in strabismus surgery and pursuing the raise of operation quality. This issue was hotly communicated and discussed at the 14 th national meeting of strabismus and pediatric ophthalmology held in Jinan in June, 2011. This article summarized the goal and the importance of microscopic strabismus surgery and suggested the measures for the healthy development of microscopic strabismus surgery according to the current status.