知觉性斜视的临床特点及手术效果

发布时间：2018-03-22 10:32

本文选题：知觉外斜视　切入点：知觉性内斜视　出处：《国际眼科杂志》2016年02期 　论文类型：期刊论文

【摘要】：目的:分析知觉性斜视的临床特点及手术效果。方法:分析2012-01/2013-06我科收治的178例知觉性斜视患者的临床资料,包括知觉性斜视的类型,斜视眼视力障碍的病因,斜视度数分布,观察术后眼位及复视现象。结果:知觉性斜视178例中知觉性外斜视123例(69.1%),知觉性内斜视55例(30.9%),知觉性斜视中109例为屈光参差性弱视,123例知觉性外斜视的平均斜视度为69.32△,其中78例合并垂直斜视,55例知觉性内斜视的平均斜视度为56.45△,其中26例合并垂直斜视。术毕6例患者出现复视,均于2wk内消失。手术设计按内斜欠矫10△左右,外斜过矫10△左右,术后眼位±10△内为正位,所有患者均行斜视眼手术,超过60△者按超常量一截一退手术设计,术后1a随访,178例斜视患者中138例术后眼位达到正位。结论:知觉性外斜视较知觉性内斜视更为常见,知觉性斜视最常见的病因为屈光参差性弱视,通常斜视度数较大,且常合并垂直斜视,知觉性斜视手术可以较好的改善斜视外观,提高患者生活质量。
[Abstract]:Objective: to analyze the clinical characteristics and surgical results of perceptual strabismus. Methods: the clinical data of 178 patients with perceptual strabismus, including the type of perceptual strabismus, the cause of strabismus vision disorder, and the distribution of squint degree, were analyzed. Results: among 178 cases of perceptual strabismus, 123 cases had perceptual exotropia, 55 cases had perceptual esotropia, 55 cases had 30. 9 cases, and 109 cases of perceptual strabismus were anisometropia amblyopia, 123 cases of perceptual exotropia were 69.32. The mean degree of esotropia was 56.45 in 55 patients with perpendicular esotropia, of which 26 were complicated with vertical strabismus. 6 patients had diplopia at the end of the operation, all of them disappeared in 2wk. The operative design was about 10 or so according to the internal oblique undercorrection. All patients underwent strabismus surgery. More than 60 patients underwent strabismus surgery. One year after operation, 138 of 178 strabismus patients were followed up. Conclusion: perceptual exotropia is more common than perceptual esotropia, and the most common cause of perceptual strabismus is anisometropia amblyopia. And often associated with vertical strabismus, perceptual strabismus surgery can improve the appearance of strabismus, improve the quality of life of patients.
【作者单位】：武汉爱尔眼科医院小儿眼科;
【分类号】：R779.6

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