内斜视远视矫正中应注意的问题

Esotropia and hyperopia corrected

内斜视患者的远视性屈光不正应该如何矫正，在理论上是一个已经解决的问题。有些专著对全部矫正存在不同的解释，“全部矫正”的概念模糊，还担心全矫之后会引起调节失用，引起外斜视。特别是临床实践中也有的医师担心远视力下降，在开具远视眼镜处方的时候，总是存在不同程度、甚至很大程度的欠矫。文章指出全矫的确切含义，以及全部矫正的效果，对上述观点进行详细的分析，避免光学矫正之后调节性内斜视和非调节性内斜视的界限仍然不能完全划清，使完全调节性内斜视患者的视轴尽早恢复正常，使得调节因素引起的内斜视完全得到光学矫正，避免没有必要的手术治疗。

The subgroups of esotropia exist. The full optical correction of the hypermetropie refractive error is theoretically conclusive. The full correction further defined the diagnosis of three forms of esotropia. The earlier viewpoint that the full optical correction of the hypermetropia will decrease the accommodative normal demand or the accommodation is inactive and an exotropia will increase. After full correction of the hypermetropia the patients often complain about blurring of vision. Moreover, some doctors still have a confused ideas about full correction of the hyperopia. The final outcome that of most of patiens with under-corrected hypermetropia, three commonly forms of esotropia （Accommodative esotropia, partially accommodative esotropia and nonaccommodative esotropia） will not be clearly differentiated as each requires different clinical management.