间歇性外斜视患者的屈光状态对术后短期立体视功能重建的影响

发布时间：2019-06-20 17:19

【摘要】：目的比较不同屈光状态的间歇性外斜视患者术后立体视功能重建的差异。设计回顾性病例系列。研究对象北京同仁医院2014年7月至2015年8月被诊断为间歇性外斜视已经接受手术治疗的患者227例。方法将患者按照屈光状态分为远视组、正视组、近视组和屈光参差组,比较分析四组患者术前术后的远近立体视功能状况。主要指标远立体视功能和近立体视功能。结果(1)不同屈光状态组患者术后1个月以眼位评价的手术成功率无统计学差异(P=0.775)。(2)远视、正视、近视和屈光参差组的患者术前远立体视保存率分别为24.1%、16.3%、20.5%和20.0%(P=0.802),术后1个月远立体视保存率分别为17.2%、26.3%、41.1%和24.4%。正视、近视和屈光参差组患者术后的远立体视的保存率均较术前有所提高,但只有近视组患者的术后远立体视保存率的提高有统计学意义(P=0.001)。(3)远视、正视、近视和屈光参差组的患者术前近立体视保存率分别为65.5%、81.3%、82.2%和64.4%,术后1个月近立体视保存率分别为65.5%、87.5%、90.4%和62.2%,正视组和近视组的患者术前术后的近立体视保存率均高于远视组和屈光参差组(P均0.05)。结论合并近视的间歇性外斜视患者术后短期内的远立体视功能重建优于合并远视、正视及屈光参差的患者。
[Abstract]:Objective To compare the difference of three-dimensional visual function in patients with intermittent exotropia in different refractive states. Design retrospective case series. In the study,227 patients with intermittent exotropia had been treated for intermittent exotropia from July 2014 to August 2015. Methods The patients were divided into the group of hypermetropia, the front group, the myopia group and the refractive index group according to the refractive state. The main index is far-stereoscopic function and near-stereoscopic function. Results (1) There was no statistical difference (P = 0.775) in the operation success rate of the patients with different refractive state group after 1 month after operation. (2) The pre-operative far-stereoscopic preservation rates of the patients with hypermetropia, face-to-face, myopia and refractive index were 24.1%, 16.3%, 20.5% and 20.0%, respectively (P = 0.802), and the three-dimensional apparent preservation rate was 17.2%, 26.3%, 41.1% and 24.4%, respectively. The preservation rate of the far-stereoscopic vision after the operation of the patients with myopia and refractive index was higher than that before operation, but the improvement of the apparent preservation rate of the patients with myopia group was statistically significant (P = 0.001). (3) The three-dimensional visual preservation rate was 65.5%, 81.3%, 82.2% and 64.4%, respectively, and the three-dimensional apparent preservation rate was 65.5%, 87.5%, 90.4% and 62.2%, respectively. The pre-operative and close-to-three-dimensional visual preservation rate of the patients with both the front and the near-sighted group was higher than that of the hypermetropia group and the refractive index group (P <0.05). Conclusion The postoperative long-term visual function reconstruction of patients with short-term and short-term vision is superior to that of patients with hypermetropia, face-to-face and anisometropia.
【作者单位】：首都医科大学附属北京同仁医院北京同仁眼科中心眼科学与视觉科学北京市重点实验室;
【基金】：北京市科委首都临床特色应用研究项目(Z141107002514030)
【分类号】：R779.6

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