单眼共同性外斜视矫正术后立体视觉康复的临床观察

Clinical Observation of Stereoscopic Vision Rehabilitation After Monocular Concomitant Exotropia Correction

目的探讨实施立体视觉康复对外斜视矫正手术康复的影响。方法选择160例在该院接受单眼共同性外斜视矫正手术治疗的患者为研究对象,随机分为观察组和对照组各80例,对照组采用常规康复方法进行术后护理,观察组在常规康复方法的基础上采用立体视觉康复的方法进行术后护理,比较两组患者术后视力的恢复状况。结果实验组与对照组两组外斜视在新建黄斑中心凹远差异无统计学意义(χ~2=13.96,P<0.005)和近(χ~2=19.93,P<0.005)立体视方面有高度差异有统计学意义;而在新建周边及以上远差异无统计学意义(χ~2=2.23,P>0.05)和近(χ~2=2.09,P>0.05)立体视方面差异无统计学意义。结论对单眼共同性外斜视矫正术后给予立体视觉康复的训练方法有助于效缓眼部的术后疲劳,促进康复,缩短眼睛视力的恢复时间,具有推广意义。

Objective To explore the effect of stereoscopic vision rehabilitation on strabismus surgery. Methods 160 patients with concomitant exotropia were randomly divided into observation group and control group, 80 cases in each group. The control group was given postoperative care by routine rehabilitation method. The observation group was given postoperative care by stereoscopic vision rehabilitation method on the basis of routine rehabilitation method. Postoperative recovery of visual acuity was compared between the two groups. Results The exotropia of the experimental group and the control group had a high significant difference in the newly established macular fovea(χ2=13.96,P<0.005) and near(χ2=19.93, P<0.005) stereopsis, but no significant difference in the new peripheral and above(χ2=2.23,P>0.05) and near(χ2=2.09,P>0.05) stereopsis. Conclusion The training method of stereo vision rehabilitation after correction of concomitant exotropia is helpful to relieve postoperative fatigue, promote rehabilitation and shorten the recovery time of visual acuity.