不同手术年龄间歇性外斜视术后双眼视功能的临床观察
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Clinical observation of binocular vision function after intermittent exotropia surgery at different ages
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    摘要:

    目的:探讨不同手术年龄的间歇性外斜视患者术后双眼视功能的恢复情况。

    方法:选取2016-01/2018-01在我科住院行斜视矫正术的间歇性外斜视患者172例,其中男95例,女77例,年龄3~32岁(平均11.4±1.5)岁。间歇性外斜视患者均为基本型。根据手术年龄分为两组:≤9岁组(90例)和>9岁组(82例)。术前和术后1、7d,1、3mo,采用同视机检查双眼视功能,Titmus检查近立体视。

    结果:≤9岁组患者的同时视功能、融合功能、融合范围、远立体视、近立体视随术后时间的增长恢复效果优于>9岁组患者(P<0.05)。

    结论:间歇性外斜视患者建议在9岁前手术治疗,尽早手术有利于术后双眼视功能更好地改善。

    Abstract:

    AIM: To investigate the recovery of binocular vision in patients with intermittent exotropia of different age.

    METHODS: Totally 172 patients with intermittent exotropia who underwent strabismus correction in our department from January 2016 to January 2018 were selected, including 95 males and 77 females, aged from 3 to 32 years, with an average age of 11.4±1.5 years. All patients with intermittent exotropia were basic type. According to the age of operation, the patients were divided into two groups: the group of less than 9 years old(90 cases)and the group of more than 9 years old(82 cases).The preoperative, 1d, 7d, 1mo and 3mo after operation were observed. The function of binocular vision was examined by synoptophore and myopia was examined by Titmus.

    RESULTS: A comparison of simultaneous vision: at the same time, the visual function, fusion function, fusion range, far stereo, near stereo recovery effect of patients ≤9 years group was better than that of patients >9 years group. The difference was statistically significant(P<0.05).

    CONCLUSION:Suggested surgical treatment of intermittent exotropia before 9 years old. Early operation is conducive to better improvement of binocular vision after surgery.

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刘育榕,赵林,李添天,等.不同手术年龄间歇性外斜视术后双眼视功能的临床观察.国际眼科杂志, 2020,20(2):325-327.

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  • 收稿日期:2019-04-18
  • 最后修改日期:2020-01-04
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  • 在线发布日期: 2020-01-19
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