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先天性内斜视的临床分析

Clinical analysis of congenital esotropia

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【作者】 刘垠宋天勤纪彩霓

【Author】 Liu Yin,Song Tian-qin,Ji Cai-ni.Department of Pediatric Ophthalmology,Wuhan Third Hospital,Wuhan 430060

【机构】 武汉市第三医院小儿眼科

【摘要】 目的探讨先天性内斜视临床特征,手术时机、方法及术后双眼单视功能。方法统计82例先天性内斜视病例,对其临床特征及治疗结果进行回顾分析。结果 60例(73.17%)一次手术获得正位,21例(25.61%)术后欠矫,1例(1.22%)术后过矫,17例(20.00%)在一次手术后6个月斜视角>20△行二次手术。术后39例(47.57%)获得周边融合,21例(25.60%)通过Titmus立体图≤400"立体视锐度。结论先天性内斜视多为双眼交替性,斜度较大,需尽早手术治疗,术后进行双眼单视功能训练,可获得满意效果。

【Abstract】 Objective To analysis the clinical features of congenital esotropia,timing and methods of surgery,and postoperative binocular vision.Methods Retrospective analysis of 82 cases of congenital esotropia clinical data and treatment outcomes.Results 60 cases(73.17%) received an orthotopic surgery,21 cases(25.61%) were due to correction,1(1.22%) patient due to correction.17 patients(20.00%) were operatied again after 6 months of first surgery.39 cases(47.00%) were peripheral integration,21 cases(25.00%) by Titmus≤400″ stereoacuity.Conclusions Congenital esotropia mostly characters with alternating eyes and large degree.It should be early diagnosis and surgery,with postoperative binocular vision training can obtain satisfactory results.

  • 【文献出处】 中国斜视与小儿眼科杂志 ,Chinese Journal of Strabismus & Pediatric Ophthalmology , 编辑部邮箱 ,2011年04期
  • 【分类号】R779.6
  • 【被引频次】2
  • 【下载频次】92
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