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目的探讨儿童部分调节性内斜视的手术时机与手术量。方法观察72例儿童部分调节性内斜视术前眼位、双眼三级视功能情况、手术量、术后眼位及双眼三级视功能情况。结果 72例中,61例术后正位(≤±8△),正位率84.72%,52例术后获得立体视,占72.2%。发病越早,术前病程越长,术后建立立体视的预后越差。结论当部分调节性内斜视患儿戴全矫镜半年眼位仍不能正位时,应尽早手术,手术量根据戴镜与裸眼视近的平均斜视度决定。
Objective To investigate the timing and amount of surgery for partial accommodative esotropia in children. Methods 72 cases of children with partial preoperative esotropia ophthalmopathy, binocular tertiary visual function, the amount of surgery, postoperative eye position and binocular tertiary visual function. Results Of the 72 cases, 61 cases were positive (≤ ± 8 △) with a positive rate of 84.72% and 52 were stereotactic (72.2%). The earlier the onset, the longer the preoperative course of disease, the worse the prognosis of stereopsis established after surgery. Conclusion When partial accommodative esotropia patients with full correction of the eye position can not be positive after six months, surgery should be as soon as possible, the amount of surgery according to the average strabismus degree of wearing glasses and naked eye astigmatism decision.