252例共同性斜视手术效果观察

Study on surgical correction of 252 cases with concomitant esotropia

目的:通过共同性斜视一次手术后的正位率、欠矫、过矫及眼迷走神经反射发生情况,评价手术的效果。方法:分析252例共同性斜视手术患者的临床资料。结果:252例术后正位231例(91.7%),术后欠矫18例(7.1%),术后过矫3例(1.2%)。2岁内手术的21例患儿与2岁后手术的231例患者术后正位率分别是100%和90.9%,两组眼迷走神经反射发生率分别为76.2%、77.9%。结论:2岁以下儿童共同性斜视矫正术安全有效。

Objective： By observation of correction rate,to evaluate the effect of surgical correction patients with concomitant esotropia,as well as the occurrence of undercorrection,overcorrection and ocular vagal reflex.Methods： The data of 252 cases with concomitant esotropia were involved and analyzed.Results： 231 of 252 cases（91.7%） were orthotropic,18 cases（7.1%） undercorrection,3 cases（1.2%） overcorrection.The correction rate and vagal reflex incidence in patients of 21 cases who were younger than 2 years old were 100% and 76.2%,and that were 90.9% and 77.9% for 231 patients who were older than 2 years.Conclusion： It is safe and effective for younger than 2 years children who were ill with concomitant esotropia to undergo strabismus surgery.