共同性水平斜视伴垂直斜视的手术治疗与分析

Surgical Treatment and Analysis of Common Horizontal Strabismus With Vertical Strabismus

目的探究临床运用手术治疗共同性水平斜视伴垂直斜视患者的具体方法与临床效果。方法选择本院于2018年5月-2019年5月期间收治的共同性水平斜视伴垂直斜视患者,根据其术前检查与常规眼底检查结果,针对其具体眼病变情况予以实施双外直肌后徙术、非主视眼的内直肌缩短术、外直肌缩短术、非主视眼的外直肌后徙与内直肌缩短术等术式。结果与手术前相比,内斜视、外斜视患者的水平斜视角、垂直斜视角均有显著改善P均<0.05。手术前,20例患者的FDA为(12.95±5.20)°,手术后,其FDA为(13.48±5.46)°,P> 0.05,表明患者手术前后旋转眼位差异无统计学意义。结论基于术前检查与常规眼底检查基础上设计、制定手术方案,能够有效改善患者水平斜视角、垂直斜视角。

Objective To explore the specific methods and clinical effects of surgical treatment of patients with common horizontal strabismus with vertical strabismus. Methods Patients with common horizontal strabismus and vertical strabismus admitted to our hospital from May 2018 to May 2019 were selected. Results Compared with preoperative, the horizontal oblique angle and vertical oblique angle of patients with esotropia and exotropia were significantly improved by P < 0.05. Before the operation, the FDA of the 20 patients was(12.95±5.20)°. After the operation, the FDA was(13.48±5.46)°, P > 0.05, indicating that there was no significant difference in the rotational eye position before and after surgery. Conclusion Based on the preoperative examination and the routine fundus examination, the design and formulation of the operation plan can effectively improve the patients’ horizontal and vertical oblique angles.