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目的 :了解先天性上斜肌麻痹原在位斜视度的分布状况 ,掌握手术设计的规律。方法 :对 2 0 9例先天性上斜肌麻痹原在位斜视度进行统计分析。结果 :( 1 )先天性上斜肌麻痹只有垂直斜视者占3 0 1 % ,同时伴有水平斜视者占 69 4 %。 ( 2 )垂直斜视度≤ 1 5△ 占 4 0 7%。 ( 3 )第二斜视角 >第一斜视角者仅占 6 2 %。结论 先天性上斜肌麻痹手术设计以存在的原在位斜视度为参考依据 ,不以注视眼别为设计依据
OBJECTIVE: To understand the distribution of primary anterior oblique paralysis and to master the rules of surgical design. Methods: Twenty-nine patients with congenital superior oblique paralysis were retrospectively analyzed. Results: (1) Congenital superior oblique palsy only vertical strabismus accounted for 30%, while accompanied by horizontal strabismus accounted for 69 4%. (2) Vertical skewness ≤ 1 5 △ 4 0 7%. (3) Second Skew angle> The first Skew angle only accounted for 6 2%. Conclusions Congenital superior oblique paralysis surgery design based on the existence of the original position of the astigmatism reference, not to pay attention to the eye as a design basis