不同手术年龄间歇性外斜视术后双眼视功能的临床观察

Clinical observation of binocular vision function after intermittent exotropia surgery at different ages

目的:探讨不同手术年龄的间歇性外斜视患者术后双眼视功能的恢复情况。方法:选取2016-01/2018-01在我科住院行斜视矫正术的间歇性外斜视患者172例,其中男95例,女77例,年龄3~32岁(平均11.4±1.5)岁。间歇性外斜视患者均为基本型。根据手术年龄分为两组:≤9岁组(90例)和>9岁组(82例)。术前和术后1、7d,1、3mo,采用同视机检查双眼视功能,Titmus检查近立体视。结果:≤9岁组患者的同时视功能、融合功能、融合范围、远立体视、近立体视随术后时间的增长恢复效果优于>9岁组患者(P<0.05)。结论:间歇性外斜视患者建议在9岁前手术治疗,尽早手术有利于术后双眼视功能更好地改善。

·AIM:To investigate the recovery of binocular vision in patients with intermittent exotropia of different age.·METHODS:Totally 172 patients with intermittent exotropia who underwent strabismus correction in our department from January 2016 to January 2018 were selected,including 95 males and 77 females,aged from 3 to 32 years,with an average age of 11.4±1.5 years.All patients with intermittent exotropia were basic type.According to the age of operation,the patients were divided into two groups:the group of less than 9 years old(90 cases) and the group of more than 9 years old(82 cases).The preoperative,1 d,7 d,1 mo and 3 mo after operation were observed.The function of binocular vision was examined by synoptophore and myopia was examined by Titmus.·RESULTS:A comparison of simultaneous vision:at the same time,the visual function,fusion function,fusion range,far stereo,near stereo recovery effect of patients≤9 years group was better than that of patients>9 years group.The difference was statistically significant(P<0.05).·CONCLUSION:Suggested surgical treatment of intermittent exotropia before 9 years old.Early operation is conducive to better improvement of binocular vision after surgery.