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目的探讨压贴三棱镜在儿童部分调节性内斜视治疗中的应用及效果。方法对53例3～13岁部分调节性内斜视患儿,在全部屈光矫正的基础上,依据同视机及三棱镜检查结果,配戴压贴三棱镜矫正残余斜视度,观察3～6月后,在配戴压贴三棱镜状态下,斜视度矫正及双眼视功能改善情况。结果配戴压贴三棱镜后,患儿残余斜视度矫正,双眼视功能改善,改善率在年龄≤6岁组(81.58%)高于>6岁组(46.67%)(χ2=6.46,P<0.05)。结论压贴三棱镜在临床部分调节性内斜视的治疗中,可以矫正残留斜视度,帮助重建双眼视功能,且年龄越小,效果越好。
Objective To investigate the application and effect of pressure-sensitive triangular prism in the treatment of partial accommodative esotropia in children. Methods Fifty-three children with partial accommodative esotropia from 3 to 13 years old were enrolled in this study. All strabismus correction was used to correct residual strabismus according to the results of synoptophore and prism test. After 3 to 6 months, In the state of wearing pressure prism attached, strabismus correction and binocular vision to improve the situation. Results After wearing pressure-sensitive prism, the residual strabismus was corrected and the binocular vision was improved. The improvement rate was higher in patients aged ≤ 6 years (81.58%) than in patients aged> 6 years (46.67%) (χ2 = 6.46, P <0.05 ). Conclusion Pressure-sensitive prism in the clinical part of the regulatory esotropia treatment, can correct residual strabismus, to help reconstruct binocular vision function, and the younger, the better.