改良穹窿结膜小切口术对水平斜视患儿眼位恢复、泪膜功能与并发症的影响

Effect of modified fornix conjunctival small incision on ocular position recovery,tear film function and complications in children with horizontal strabismus

目的 研究改良穹窿结膜小切口术对水平斜视患儿眼位恢复、泪膜功能以及并发症的影响.方法 选取南昌爱尔眼科医院2021年2月-2022年5月收治的90例患有水平斜视的患儿作为研究对象,随机分为两组,每组45例患儿,对照组实施角膜缘梯形结膜切口术进行治疗,观察组实施改良穹窿结膜小切口术进行治疗.比较两组患儿的疗效、眼位恢复、泪膜功能、并发症的发生情况.结果 观察组总有效率97.78%,明显高于对照组的82.22%;观察组干眼症症状评分均优于对照组;观察组泪膜功能优于对照组;观察组散光度、视力水平优于对照组;观察组患者并发症发生率4.44%低于对照组的20.00%,差异有统计学意义(P<0.05).结论 水平斜视患儿实施改良穹窿结膜小切口术后效果更佳,能有效改善患者的泪膜功能,促进眼位恢复,降低并发症的发生率,安全性更高,具有较高的临床应用价值.

Objective To investigate the effects of modified fornix conjunctival small incision on ocular position recovery,tear film function and complications in children with horizontal strabismus.Methods 90 children with horizontal strabismus admitted to our hospital from February 2021 to May 2022 were randomly divided into two groups with 45 children in each group.The control group was treated with limbal trapezoid conjunctival incision,and the observation group was treated with modified fornix conjunctival incision.The efficacy,eye position recovery,tear film function and complications were compared between the two groups.Results The total effective rate of the observation group was 97.78%,which was higher than that of the control group 82.22%.Dry eye symptom score of observation group was better than control group.The function of tear film in observation group was better than that in control group.The diffusivity and visual acuity of the observation group were better than those of the control group.The complication rate of observation group was 4.44%lower than that of control group,20.00%,and the difference was statistically significant(P<0.05).Conclusion Modified fornix conjunctival small incision in children with horizontal strabismus has better postoperative effect,which can effectively improve the tear film function of patients,promote the recovery of eye position,reduce the incidence of complications,and has higher safety and clinical application value.