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目的探讨压贴三棱镜治疗儿童眼性斜颈的临床应用特点和疗效。设计回顾性病例系列。研究对象眼性斜颈患儿64例。方法患儿配戴Fresnel压贴三棱镜,观察配镜后的代偿头位及斜视度改变情况,比较戴镜前后双眼视功能的变化,随访6～12个月。主要指标代偿头位改善率,双眼同时知觉、融合功能、立体视觉。结果配镜后代偿头位改善率90.6%(58例)。所有能配合检查者55例(100.0%)戴镜后有双眼同时知觉、52例(94.5%)有融合功能、50例(90.9%)有立体视,与戴镜前相比有非常显著性差异(P均<0.001)。结论采用压贴三棱镜矫正某些儿童眼性斜颈效果满意,有利于保护和改善儿童双眼视觉功能。
Objective To investigate the clinical features and curative effects of pressure-glued prism on ocular torticollis in children. Design retrospective case series. The study included 64 children with ocular torticollis. Methods Children with Fresnel pressure attached to the prism, the lens after the compensatory head and strabismus observed changes in comparison before and after wearing glasses binocular visual function changes, followed up for 6 to 12 months. The main indicators to improve the rate of head compensation, both eyes simultaneously perception, fusion, stereo vision. Results The improvement rate of post-lensing compensation head was 90.6% (58 cases). All of the 55 patients (100.0%) who could cooperate with the examination had binocular consciousness after wearing the glasses, 52 cases (94.5%) had fusion function, 50 cases (90.9%) had stereopsis, and there was a significant difference (P <0.001). Conclusions The use of pressure-fitting triangular prism correction of some children with ocular torticollis satisfaction, is conducive to the protection and improvement of children’s binocular vision.