成人共同性斜视手术治疗的美容疗效分析

Clinical study on the Cosmetic effects after surgery in adult concomitant strabismus

目的：观察成人共同性斜视矫正术后眼位、视功能的恢复情况。方法：回顾性分析笔者所在医院2013年10月-2015年4月经手术矫正的78例年龄≥18岁的共同性斜视患者，年龄18～54岁，平均27．5岁，行显微镜下水平斜视矫正手术治疗。术后早期进行视功能训练，随访6～12个月，观察眼位、视功能恢复情况。结果：所有患者眼位矫正满意，正位59例，占85．94％；欠矫18例，外观满意未再行二次手术；过矫1例，术后配戴压贴三棱镜，眼位矫正满意。术后经视功能训练，有47例患者视功能有不同程度恢复，占60．26％。结论：成人共同性斜视行斜视矫正术治疗后，眼位矫正，美容效果满意，有助于重塑患者的自信心和改善生存质量，部分患者通过训练还会有一定程度的视功能恢复。

Objective To observe the eye correction,the binocular vision rebuilding after surgery in the adult concomitant strabismus. Methods 78 patients（aged 18 to 54 years old）with a diagnosis of strabismus conform to the inclusion and exclusion standard were selected in our hospital from October 2013 to May 2015.The eye position and the stereopsis were observed and analyzed half year after surgery. Results All patients was satisfactory with their eye position,59 cases（85.94%）were cured,19 patients were improved and were satisfied with their appearance.At six months after operation,there was a great improvement in 47 patients（60.26% ）getting stereopsis and synoptophore in this group. Conclusion The eye correction and the cosmetic effect was satisfactory,the binocular vision has been improved in different degrees postoperatively for adult concomitant strabismus after surgery.