摘要
目的:探讨影响儿童共同性外斜视手术疗效的因素。方法:对59例平均随访17.7(3～64)mo的儿童共同性外斜视术后患者,按年龄、双眼视觉、斜视类型、术式分组进行回顾性研究,经统计学处理,观察各因素对疗效的影响。结果:眼位:正位43例(73%);内斜3例(5%);外斜13例(22%)。眼位正位率与手术年龄、斜视类型无相关性;与术前有无融合功能、斜视是否为间歇性、术式有关。学龄前手术组的立体视功能恢复率较高。结论:儿童共同性外斜视在斜视仍为间歇性、融合功能未丢失之前手术疗效较好。术式对术后眼位有较大影响。早期手术有利于双眼视功能的恢复。
AIM： To discuss the factors that influences the long-term postoperative effects of children with comitant exotropia.
METHODS： Fifty-nine cases with comitant exobropia operated before 12a were categorized according to the ages, binocularity, types of strabismus, types of operations. All results were analyzed statistically. The cases were followed up from 3 to 64mo, with the average of 17.7mo.
RESULTS： Their postoperative eye positions include orthophoria in 43 cases （73%）, esobopia in 3 cases （5%）, exotropia in 13 cases （22%）. The orthophoric rate did not correlate with ages or types of strabismus, but with preoperative presence of fusion, intermittent deviation and types of operation. The recovery rate of the stereoscopic vision of the cases operated before 7a was obviously higher than that of the cases operated after 7a.
CONCLUSION： Children with comitant exotropia may achieve higher orthophoric rate with surgical alignment before the lost of fusion and intermittence. Types of operation have a significant effect on the long-term postoperative eye position. Earlier surgery is in favor of the recovery of binocular vision.
出处
《国际眼科杂志》
CAS
2006年第2期483-485,共3页
International Eye Science
关键词
儿童
外斜视
手术
children
exotropia
operation
