【摘要】 目的 :探讨先天性特发性眼球震颤合并斜视的手术矫治方法。方法 :根据中间带所处的位置、斜视性质与主导眼的关系 ,设计了八种类型的手术方法 ,并对资料完整的 2 9例合并水平斜视的病例进行回顾性分析。结果 :所有患者主导眼原在位视力均提高二行以上 ,视力≥ 0 .8者达 48.3%。双眼正前方眼球无震颤或很轻微 ,头位消除 ,外观满意 2 4例 ,占 82 .8%。术后眼位映光基本正位 ,在± 5°以内 2 6例 ,占 89.6 %。部分患者双眼视功能较术前有所改善。结论 :对合并水平斜视的先天性特发性眼球震颤按两大类八型设计手术治疗 ,效果满意。更多还原

【Abstract】 Objective:To investigate a way of idiopathic congenital nystagmus.Methods:Analysis and research of 29 cases of horizontal strabismus with detailed records. Results:In all the cases, the main eye, in the front position, could see more than two lines better than before. 48.3% of all the patients had a visual acuity ≥0.8. Both eyes look in the front direction without nystagmus or with slight nystagmus. The head position became normal. 24 cases had a normal head position and a satisfactory appearance, which was 82.8% of all. The post operative eyeball position was essentially normal by light. 26 cases of eyeballs were between +5and -5°,which was 89.6% of all. The visual function of both eyes of some cases has been improved after the operation.Conclusion:The operation designed by two classes and eight types was satisfactory in treating idiopathic congenital nystagmus with horizontal strabismus. This has provided efficient ways of treatment to the clinic.更多还原