下斜肌功能亢进对主导眼选择及屈光发育的影响
发布时间：2019-07-30 21:42
【摘要】：目的探究伴发下斜肌功能亢进对其主导眼选择及屈光发育的影响。方法病例回顾研究。选取2012年至2015年于我院斜视与儿童眼病中心行斜视治疗的伴下斜肌功能亢进患者117例为研究对象,分为单眼先天性上斜肌麻痹伴发下斜肌功能亢进组,外斜视伴发单眼或双眼的原发下斜肌功能亢进组以及内斜视伴发单眼或双眼的原发下斜肌功能亢进组。非参数检验分别比较各组中主导眼与非主导眼下斜肌功能亢进程度;配对t检验分别比较下斜肌功能亢进眼(或双眼亢进中较重眼)与对侧眼等效球镜度数。结果单眼先天性上斜肌麻痹伴发下斜肌功能亢进组与外斜视伴发单眼或双眼的原发下斜肌功能亢进组,主导眼的下斜肌功能亢进程度总和分别为5和52,均较对侧眼的94和81轻(均为P0.05);内斜视伴发单眼或双眼的原发下斜肌功能亢进组主导眼与非主导眼下斜肌功能亢进程度总和分别为15和26,差异无统计学意义(P=0.056)。各组下斜肌功能亢进眼与对侧眼等效球镜度数间差异均无统计学意义(均为P0.05)。结论下斜肌功能亢进程度较重眼多不被选择用于主导眼;下斜肌功能亢进对于屈光发育无明显影响。
[Abstract]:Objective to investigate the effect of hyperfunction of inferior oblique muscle on the selection of dominant eyes and refractive development. Methods the case study was reviewed. From 2012 to 2015, 117 patients with hyperfunction of inferior oblique muscle were treated with strabismus in strabismus and children's ophthalmopathy center in our hospital. They were divided into three groups: monocular congenital superior oblique paralysis with inferior oblique hyperfunction, exotropia with monocular or binocular primary inferior oblique hyperfunction group and esotropia with monocular or binocular primary inferior oblique hyperfunction group. The degree of hyperfunction of oblique muscle in dominant eye and non-dominant oblique muscle in each group was compared by nonparametric test, and the equivalent spherical degree of inferior oblique hyperfunctional eye (or severe eye in binocular hyperactivity) and contralateral eye were compared by matched t test. Results the total degree of inferior oblique muscle hyperfunction in monocular congenital superior oblique muscle paralysis with inferior oblique hyperfunction group and exotropia with monocular or binocular primary inferior oblique muscle hyperfunction group were 5 and 52 respectively, which were lighter than those in contralateral eye 94 and 81 (both P 0.05), and the total degree of inferior oblique hyperfunction in the leading eye was 5 and 52, respectively, which was lighter than that in the contralateral eye (P 0.05). In esotropia with monocular or binocular primary inferior oblique hyperfunction, the sum of dominant and non-dominant oblique hyperfunction was 15 and 26, respectively, with no significant difference (P 鈮，
本文编号：2521167
[Abstract]:Objective to investigate the effect of hyperfunction of inferior oblique muscle on the selection of dominant eyes and refractive development. Methods the case study was reviewed. From 2012 to 2015, 117 patients with hyperfunction of inferior oblique muscle were treated with strabismus in strabismus and children's ophthalmopathy center in our hospital. They were divided into three groups: monocular congenital superior oblique paralysis with inferior oblique hyperfunction, exotropia with monocular or binocular primary inferior oblique hyperfunction group and esotropia with monocular or binocular primary inferior oblique hyperfunction group. The degree of hyperfunction of oblique muscle in dominant eye and non-dominant oblique muscle in each group was compared by nonparametric test, and the equivalent spherical degree of inferior oblique hyperfunctional eye (or severe eye in binocular hyperactivity) and contralateral eye were compared by matched t test. Results the total degree of inferior oblique muscle hyperfunction in monocular congenital superior oblique muscle paralysis with inferior oblique hyperfunction group and exotropia with monocular or binocular primary inferior oblique muscle hyperfunction group were 5 and 52 respectively, which were lighter than those in contralateral eye 94 and 81 (both P 0.05), and the total degree of inferior oblique hyperfunction in the leading eye was 5 and 52, respectively, which was lighter than that in the contralateral eye (P 0.05). In esotropia with monocular or binocular primary inferior oblique hyperfunction, the sum of dominant and non-dominant oblique hyperfunction was 15 and 26, respectively, with no significant difference (P 鈮，
本文编号：2521167
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