摘要
目的探讨儿童部分调节性内斜视的手术时机,手术量。方法对35例部分调节性内斜视的患儿戴全矫眼镜半年以后,手术矫治与调节因素无关的非调节因素所致的内斜视。手术量按裸眼和戴镜后斜视度的平均值设计。结果35例中,眼位矫正满意32例占91.43%,良好3例占8.57%;功能治愈有立体视19例占54.29%。结论儿童部分调节性内斜视,其由解剖因素所致的斜视需手术矫正。当患儿戴全矫眼镜半年眼位仍不能恢复正位时,可尽早手术矫治其残存的内斜度,手术量按裸眼与戴镜平均斜视度设计,术后由于调节因素所致内斜仍需配镜矫正。
Objective To investigate the surgical optimal tinting and extent for partially accommodative esotropia in children. Methods 35 eases of pediatric partially accommodative esotropia were treated by surgery. The amount of surgery was determined by the average diopters of esotropia without and with correction. Results In the 35 cases, 32 （91.4%） were cured and 3 （9.6%） improved, 19 cases got stereopsis （54.29 % ）. Conclusions Partially accommodative esotropia in children is due to accommodative factor in addition to anatomical. The later must be surgical treated. Surgical operation must be early performed to the residual esotropia after children have worn the spectacles of full correction of hyperopia for 6 months. The residual deviation correction should be designed according to the esotropia with and without spectacles. After surgical operation,patients must wear spectacles for correction of hyperopia too.
出处
《眼外伤职业眼病杂志》
北大核心
2006年第9期703-704,共2页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
儿童
部分词节性内斜视
children
partially accommodative esotropia
surgery
