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目的观察V型外斜视的手术治疗效果。方法依据不同临床表现,对有下斜肌功能亢进者行下斜肌减弱术,反之则行外直肌后徙并上移术,对上直肌功能不足者行上直肌移位或缩短术。结果45例V型外斜视经手术治疗,眼位正位者39例(86.67%),有双眼单视功能者从术前的46.67%提高到术后的73.33%。结论V型外斜视的治疗应针对不同临床特点采取不同的手术方法,手术治疗V型外斜视在矫正眼位的同时,还可以使部分患者的双眼单视功能得到重建。
Objective To observe the surgical treatment of V-type exotropia. Methods According to different clinical manifestations, the lower oblique muscle hyperthyroidism underwent oblique muscle weakening, and vice versa then the external rectus muscle migration and move up, the upper rectus muscle dysfunction in the rectus muscle transposition or shortening . Results 45 cases of V-type exotropia were treated by surgery, with 39 eyes (86.67%) having positive eye position and 46.67% with binocular single-vision function from the preoperative 46.67% to 73.33% postoperatively. Conclusion The treatment of V-type exotropia should be based on different clinical features of different surgical methods, surgical treatment of V-shaped exotropia in the correction of the eye position, but also can make some patients binocular vision function was reconstructed.